| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,336.68 | $1,336.68 | $1,336.68 | |
CareFirst
| Professional | $1,897.49 | $1,897.49 | $2,116.17 | |
Kaiser Permanente
| Professional | $1,966.87 | $1,966.87 | $1,966.87 | |
United
| Professional | $951.12 | $1,590.85 | $1,590.85 |