| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $611.36 | $611.36 | $611.36 | |
CareFirst
| Professional | $859.81 | $859.81 | $958.93 | |
Kaiser Permanente
| Professional | $899.48 | $899.48 | $899.48 | |
United
| Professional | $435.02 | $727.61 | $727.61 |