| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $591.80 | $591.80 | $591.80 | |
CareFirst
| Professional | $786.45 | $786.45 | $877.10 | |
Kaiser Permanente
| Professional | $870.91 | $870.91 | $870.91 | |
United
| Professional | $421.10 | $704.34 | $704.34 |