| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $997.24 | $997.24 | $997.24 | |
CareFirst
| Professional | $1,415.61 | $1,415.61 | $1,578.78 | |
Kaiser Permanente
| Professional | $1,467.38 | $1,467.38 | $1,467.38 | |
United
| Professional | $709.59 | $1,186.85 | $1,186.85 |