| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $371.00 | $455.30 | $455.30 | |
CareFirst
| Professional | $472.96 | $472.96 | $600.66 | |
Kaiser Permanente
| Professional | $586.05 | $678.59 | $884.13 | |
United
| Facility | $128.00 | $150.00 | $150.00 | |
United
| Professional | $318.64 | $415.85 | $795.70 |