| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,152.52 | $1,152.52 | $1,152.52 | |
CareFirst
| Professional | $1,658.10 | $1,658.10 | $1,658.10 | |
Kaiser Permanente
| Professional | $1,695.95 | $1,695.95 | $1,695.95 | |
United
| Professional | $820.08 | $1,371.67 | $1,371.67 |