| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $437.85 | $437.85 | $437.85 | |
Aetna
| Professional | $437.85 | $437.85 | $437.85 | |
CareFirst
| Professional | $871.20 | $871.20 | $871.20 | |
Kaiser Permanente
| Professional | $714.52 | $714.52 | $714.52 | |
United
| Professional | $34.01 | $51.01 | $85.85 |