| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $791.75 | $791.75 | $791.75 | |
CareFirst
| Professional | $1,124.06 | $1,124.06 | $1,253.63 | |
Kaiser Permanente
| Professional | $1,165.14 | $1,165.14 | $1,165.14 | |
United
| Professional | $563.37 | $942.29 | $942.29 |