| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $488.07 | $488.07 | $488.07 | |
Aetna
| Professional | $488.07 | $488.07 | $488.07 | |
CareFirst
| Professional | $983.60 | $983.60 | $983.60 | |
Kaiser Permanente
| Professional | $526.79 | $526.79 | $1,743.06 | |
United
| Professional | $347.28 | $580.87 | $748.36 |