| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $760.42 | $760.42 | $760.42 | |
CareFirst
| Professional | $1,079.54 | $1,079.54 | $1,204.00 | |
Kaiser Permanente
| Professional | $1,119.02 | $1,119.02 | $1,119.02 | |
United
| Professional | $541.08 | $905.02 | $905.02 |