| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $3,870.98 | $3,870.98 | $3,870.98 | |
CareFirst
| Professional | $5,487.20 | $5,487.20 | $5,487.35 | |
Kaiser Permanente
| Professional | $5,810.64 | $5,810.64 | $5,810.64 | |
United
| Professional | $2,560.48 | $3,840.72 | $3,853.26 |