| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $488.75 | $530.95 | $567.76 | |
CareFirst
| Professional | $8,753.00 | $8,753.00 | $8,753.00 | |
Kaiser Permanente
| Professional | $492.82 | $627.59 | $1,135.05 | |
United
| Professional | $445.25 | $593.67 | $1,117.15 |