| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,216.50 | $1,216.50 | $1,216.50 | |
CareFirst
| Professional | $1,841.27 | $1,841.27 | $1,926.05 | |
Kaiser Permanente
| Professional | $1,790.18 | $1,790.18 | $1,790.18 | |
United
| Professional | $901.16 | $1,405.68 | $1,405.68 |