| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $887.49 | $887.49 | $887.49 | |
CareFirst
| Professional | $1,239.50 | $1,239.50 | $1,239.59 | |
Kaiser Permanente
| Professional | $1,391.20 | $1,391.20 | $1,391.20 | |
United
| Professional | $598.00 | $897.00 | $916.26 |