| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $756.13 | $974.88 | $1,047.28 | |
CareFirst
| Professional | $1,339.65 | $1,339.65 | $1,417.35 | |
Kaiser Permanente
| Professional | $79.23 | $97.87 | $1,620.26 | |
United
| Professional | $793.39 | $1,005.74 | $1,574.38 |