| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $590.91 | $590.91 | $590.91 | |
CareFirst
| Professional | $839.09 | $839.09 | $935.83 | |
Kaiser Permanente
| Professional | $869.90 | $869.90 | $869.90 | |
United
| Professional | $420.47 | $703.28 | $703.28 |