| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $621.58 | $621.58 | $621.58 | |
CareFirst
| Professional | $749.98 | $749.98 | $836.43 | |
Kaiser Permanente
| Professional | $914.51 | $914.51 | $914.51 | |
United
| Professional | $442.29 | $739.77 | $739.77 |