| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $838.62 | $838.62 | $838.62 | |
CareFirst
| Professional | $1,198.80 | $1,198.80 | $1,198.81 | |
Kaiser Permanente
| Professional | $1,260.36 | $1,260.36 | $1,260.36 | |
United
| Professional | $555.84 | $833.76 | $833.76 |