| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $775.31 | $775.31 | $775.31 | |
CareFirst
| Professional | $1,100.60 | $1,100.60 | $1,227.45 | |
Kaiser Permanente
| Professional | $1,140.83 | $1,140.83 | $1,140.83 | |
United
| Professional | $551.66 | $922.73 | $922.73 |