| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $909.49 | $909.49 | $909.49 | |
CareFirst
| Professional | $1,291.22 | $1,291.22 | $1,440.04 | |
Kaiser Permanente
| Professional | $1,338.31 | $1,338.31 | $1,338.31 | |
United
| Professional | $647.15 | $1,082.42 | $1,082.42 |