| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,120.75 | $1,120.75 | $1,120.75 | |
CareFirst
| Professional | $1,590.82 | $1,590.82 | $1,774.15 | |
Kaiser Permanente
| Professional | $1,648.83 | $1,648.83 | $1,648.83 | |
United
| Professional | $797.48 | $1,333.86 | $1,333.86 |