| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,290.25 | $1,290.25 | $1,290.25 | |
CareFirst
| Professional | $1,831.55 | $1,831.55 | $2,042.60 | |
Kaiser Permanente
| Professional | $1,898.45 | $1,898.45 | $1,898.45 | |
United
| Professional | $918.08 | $1,535.59 | $1,535.59 |