| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $555.86 | $644.54 | $2,408.67 | |
CareFirst
| Professional | $1,111.76 | $1,111.76 | $1,270.74 | |
Kaiser Permanente
| Professional | $575.52 | $730.91 | $1,447.50 | |
United
| Professional | $387.28 | $926.28 | $1,946.80 |