| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $500.51 | $500.51 | $500.51 | |
Aetna
| Professional | $500.51 | $500.51 | $500.51 | |
CareFirst
| Professional | $1,064.20 | $1,064.20 | $1,064.20 | |
Kaiser Permanente
| Professional | $526.79 | $526.79 | $1,787.50 | |
United
| Professional | $356.14 | $595.66 | $748.36 |