| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,281.29 | $1,281.29 | $1,281.29 | |
CareFirst
| Professional | $1,959.42 | $1,959.42 | $1,959.42 | |
Kaiser Permanente
| Professional | $1,560.19 | $1,560.19 | $1,560.19 | |
United
| Professional | $822.92 | $1,234.36 | $1,234.36 |