| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $706.22 | $706.22 | $706.22 | |
CareFirst
| Professional | $899.92 | $899.92 | $1,003.59 | |
Kaiser Permanente
| Professional | $1,039.32 | $1,039.32 | $1,039.32 | |
United
| Professional | $502.51 | $840.50 | $840.50 |