| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $626.24 | $626.24 | $626.24 | |
CareFirst
| Professional | $888.93 | $888.93 | $991.41 | |
Kaiser Permanente
| Professional | $921.53 | $921.53 | $921.53 | |
United
| Professional | $445.61 | $745.32 | $745.32 |