| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $489.62 | $489.62 | $489.62 | |
CareFirst
| Professional | $694.96 | $694.96 | $775.11 | |
Kaiser Permanente
| Professional | $720.28 | $720.28 | $720.28 | |
United
| Professional | $348.39 | $582.72 | $582.72 |