| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,003.80 | $1,003.80 | $1,003.80 | |
CareFirst
| Professional | $1,535.27 | $1,535.27 | $1,535.27 | |
Kaiser Permanente
| Professional | $1,160.01 | $1,160.01 | $1,160.01 | |
United
| Professional | $644.94 | $967.42 | $967.42 |