| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,380.38 | $1,862.09 | $2,344.23 | |
CareFirst
| Professional | $2,398.83 | $2,691.53 | $3,235.94 | |
Kaiser Permanente
| Professional | $1,905.46 | $2,137.96 | $3,981.07 | |
United
| Facility | $660.69 | $660.69 | $660.69 | |
United
| Professional | $1,584.89 | $2,238.72 | $3,890.45 |