| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $524.94 | $524.94 | $524.94 | |
CareFirst
| Professional | $678.65 | $678.65 | $756.84 | |
Kaiser Permanente
| Professional | $772.41 | $772.41 | $772.41 | |
United
| Professional | $373.52 | $624.76 | $624.76 |