| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $763.31 | $763.31 | $763.31 | |
CareFirst
| Professional | $1,083.59 | $1,083.59 | $1,208.55 | |
Kaiser Permanente
| Professional | $1,123.28 | $1,123.28 | $1,123.28 | |
United
| Professional | $543.14 | $908.45 | $908.45 |