| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $272.13 | $272.13 | $272.13 | |
Aetna
| Professional | $272.13 | $272.13 | $272.13 | |
CareFirst
| Professional | $644.29 | $644.29 | $644.29 | |
Kaiser Permanente
| Professional | $500.74 | $500.74 | $971.89 | |
United
| Professional | $193.64 | $323.88 | $436.12 |