| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $412.76 | $412.76 | $412.76 | |
CareFirst
| Professional | $485.30 | $485.30 | $582.36 | |
Kaiser Permanente
| Professional | $465.65 | $465.65 | $465.65 | |
United
| Professional | $293.70 | $491.24 | $491.24 |