| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,949.84 | $3,630.78 | $3,630.78 | |
CareFirst
| Professional | $1,819.70 | $1,995.26 | $2,187.76 | |
Kaiser Permanente
| Professional | $2,884.03 | $2,884.03 | $10,000.00 | |
United
| Professional | $1,047.13 | $1,122.02 | $3,162.28 |