| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $988.57 | $988.57 | $988.57 | |
CareFirst
| Professional | $1,403.43 | $1,403.43 | $1,565.20 | |
Kaiser Permanente
| Professional | $1,454.60 | $1,454.60 | $1,454.60 | |
United
| Professional | $703.42 | $1,176.55 | $1,176.55 |