| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,779.21 | $1,779.21 | $1,779.21 | |
CareFirst
| Professional | $2,908.70 | $2,908.70 | $2,908.78 | |
Kaiser Permanente
| Professional | $3,080.13 | $3,080.13 | $3,080.13 | |
United
| Professional | $1,357.08 | $2,035.62 | $2,035.62 |