| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $704.88 | $704.88 | $704.88 | |
CareFirst
| Professional | $990.48 | $990.48 | $990.50 | |
Kaiser Permanente
| Professional | $1,048.84 | $1,048.84 | $1,048.84 | |
United
| Professional | $465.20 | $697.80 | $733.39 |