| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $544.49 | $544.49 | $544.49 | |
CareFirst
| Professional | $567.79 | $567.79 | $681.36 | |
Kaiser Permanente
| Professional | $614.27 | $614.27 | $614.27 | |
United
| Professional | $387.44 | $648.02 | $648.02 |