| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $4,928.64 | $4,928.64 | $4,928.64 | |
CareFirst
| Professional | $7,430.70 | $7,430.70 | $7,430.74 | |
Kaiser Permanente
| Professional | $7,724.63 | $7,724.63 | $7,724.63 | |
United
| Professional | $3,312.40 | $4,968.60 | $4,968.60 |