| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $474.96 | $474.96 | $474.96 | |
CareFirst
| Professional | $674.31 | $674.31 | $752.01 | |
Kaiser Permanente
| Professional | $698.98 | $698.98 | $698.98 | |
United
| Professional | $337.96 | $565.27 | $565.27 |