| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,685.20 | $1,827.31 | $2,233.76 | |
CareFirst
| Professional | $2,674.73 | $2,674.73 | $3,057.22 | |
Kaiser Permanente
| Professional | $1,860.68 | $2,369.61 | $4,029.87 | |
United
| Professional | $1,633.47 | $2,206.03 | $3,593.11 |