| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $4,804.89 | $4,804.89 | $4,804.89 | |
CareFirst
| Professional | $7,430.08 | $7,430.08 | $7,430.10 | |
Kaiser Permanente
| Professional | $7,530.65 | $7,530.65 | $7,530.65 | |
United
| Professional | $3,251.20 | $4,876.80 | $4,876.80 |