| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $173.78 | $616.60 | $1,778.28 | |
CareFirst
| Professional | $112.20 | $933.25 | $1,202.26 | |
Kaiser Permanente
| Professional | $501.19 | $549.54 | $1,513.56 | |
United
| Facility | $660.69 | $660.69 | $660.69 | |
United
| Professional | $436.52 | $891.25 | $1,949.84 |