| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $453.03 | $453.03 | $453.03 | |
CareFirst
| Professional | $691.39 | $691.39 | $691.39 | |
Kaiser Permanente
| Professional | $522.71 | $522.71 | $522.71 | |
United
| Professional | $291.08 | $436.61 | $436.61 |