| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $745.09 | $745.09 | $745.09 | |
CareFirst
| Professional | $811.80 | $811.80 | $974.16 | |
Kaiser Permanente
| Professional | $840.58 | $840.58 | $840.58 | |
United
| Professional | $530.17 | $886.77 | $886.77 |