| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $722.66 | $722.66 | $722.66 | |
CareFirst
| Professional | $812.10 | $812.10 | $974.52 | |
Kaiser Permanente
| Professional | $815.27 | $815.27 | $815.27 | |
United
| Professional | $514.21 | $860.07 | $860.07 |