| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,163.63 | $1,163.63 | $1,163.63 | |
CareFirst
| Professional | $1,652.00 | $1,652.00 | $1,842.40 | |
Kaiser Permanente
| Professional | $1,712.24 | $1,712.24 | $1,712.24 | |
United
| Professional | $827.98 | $1,384.89 | $1,384.89 |