| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $691.83 | $724.44 | $724.44 | |
CareFirst
| Professional | $812.83 | $812.83 | $812.83 | |
Kaiser Permanente
| Professional | $831.76 | $831.76 | $831.76 | |
United
| Professional | $512.86 | $851.14 | $851.14 |