| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $408.95 | $1,020.32 | $1,047.28 | |
CareFirst
| Professional | $1,339.65 | $1,339.65 | $1,339.65 | |
Kaiser Permanente
| Professional | $93.22 | $93.22 | $93.22 | |
United
| Professional | $235.05 | $938.69 | $2,770.95 |