| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $376.99 | $376.99 | $376.99 | |
CareFirst
| Professional | $535.36 | $535.36 | $597.03 | |
Kaiser Permanente
| Professional | $554.87 | $554.87 | $554.87 | |
United
| Professional | $268.25 | $448.67 | $448.67 |