| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $441.41 | $441.41 | $441.41 | |
CareFirst
| Professional | $513.50 | $513.50 | $616.20 | |
Kaiser Permanente
| Professional | $497.98 | $497.98 | $497.98 | |
United
| Professional | $314.08 | $525.35 | $525.35 |