| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $514.75 | $514.75 | $514.75 | |
CareFirst
| Professional | $613.87 | $613.87 | $684.61 | |
Kaiser Permanente
| Professional | $650.97 | $650.97 | $650.97 | |
United
| Professional | $333.09 | $499.64 | $499.64 |