| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $352.48 | $776.64 | $876.36 | |
CareFirst
| Professional | $2,141.00 | $2,141.00 | $2,141.00 | |
Kaiser Permanente
| Professional | $793.29 | $1,003.70 | $1,339.21 | |
United
| Professional | $300.17 | $401.93 | $752.68 |