| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $476.29 | $476.29 | $476.29 | |
CareFirst
| Professional | $676.06 | $676.06 | $753.97 | |
Kaiser Permanente
| Professional | $700.74 | $700.74 | $700.74 | |
United
| Professional | $338.91 | $566.86 | $566.86 |