| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $757.76 | $757.76 | $757.76 | |
CareFirst
| Professional | $1,075.83 | $1,075.83 | $1,199.80 | |
Kaiser Permanente
| Professional | $1,115.01 | $1,115.01 | $1,115.01 | |
United
| Professional | $539.17 | $901.84 | $901.84 |