| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,318.24 | $1,318.24 | $1,318.24 | |
CareFirst
| Professional | $2,013.82 | $2,013.82 | $2,013.90 | |
Kaiser Permanente
| Professional | $2,065.87 | $2,065.87 | $2,065.87 | |
United
| Professional | $889.04 | $1,333.56 | $1,333.56 |