| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $660.90 | $660.90 | $660.90 | |
CareFirst
| Professional | $797.37 | $797.37 | $889.28 | |
Kaiser Permanente
| Professional | $972.41 | $972.41 | $972.41 | |
United
| Professional | $470.26 | $786.57 | $786.57 |