| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $449.86 | $449.86 | $449.86 | |
Aetna
| Professional | $449.86 | $449.86 | $449.86 | |
CareFirst
| Professional | $849.55 | $849.55 | $849.55 | |
Kaiser Permanente
| Professional | $526.79 | $526.79 | $1,606.61 | |
United
| Professional | $320.10 | $535.39 | $748.36 |