| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $446.52 | $446.52 | $446.52 | |
CareFirst
| Professional | $633.85 | $633.85 | $706.93 | |
Kaiser Permanente
| Professional | $657.13 | $657.13 | $657.13 | |
United
| Professional | $317.72 | $531.42 | $531.42 |