| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $669.79 | $669.79 | $669.79 | |
CareFirst
| Professional | $873.90 | $873.90 | $920.78 | |
Kaiser Permanente
| Professional | $1,006.74 | $1,006.74 | $1,006.74 | |
United
| Professional | $445.72 | $668.58 | $668.58 |