| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $547.41 | $634.67 | $1,515.26 | |
CareFirst
| Professional | $597.17 | $597.17 | $682.57 | |
Kaiser Permanente
| Professional | $925.31 | $1,067.05 | $1,391.81 | |
United
| Professional | $503.65 | $669.44 | $1,086.41 |