| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $758.58 | $758.58 | $912.01 | |
CareFirst
| Professional | $1,230.27 | $1,230.27 | $1,230.27 | |
Kaiser Permanente
| Professional | $1,148.15 | $1,148.15 | $1,148.15 | |
United
| Professional | $537.03 | $912.01 | $912.01 |