| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $898.60 | $898.60 | $898.60 | |
CareFirst
| Professional | $1,421.05 | $1,542.91 | $5,832.42 | |
Kaiser Permanente
| Professional | $1,074.86 | $2,407.14 | $2,407.14 | |
United
| Professional | $1,215.81 | $1,465.55 | $3,412.74 |