| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $414.91 | $449.97 | $491.55 | |
CareFirst
| Professional | $442.47 | $442.47 | $505.74 | |
Kaiser Permanente
| Professional | $458.50 | $583.87 | $967.20 | |
United
| Facility | $661.00 | $661.00 | $661.00 | |
United
| Professional | $383.86 | $505.79 | $905.45 |