| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2,611.16 | $2,611.16 | $2,611.16 | |
CareFirst
| Professional | $3,732.60 | $3,732.60 | $3,732.70 | |
Kaiser Permanente
| Professional | $3,924.97 | $3,924.97 | $3,924.97 | |
United
| Professional | $1,730.84 | $2,596.26 | $2,596.26 |