| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $801.52 | $801.52 | $801.52 | |
CareFirst
| Professional | $1,059.84 | $1,059.84 | $1,101.73 | |
Kaiser Permanente
| Professional | $1,204.73 | $1,204.73 | $1,204.73 | |
United
| Professional | $531.16 | $796.74 | $796.74 |