| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $475.85 | $475.85 | $475.85 | |
CareFirst
| Professional | $597.53 | $597.53 | $654.22 | |
Kaiser Permanente
| Professional | $706.00 | $706.00 | $706.00 | |
United
| Professional | $313.83 | $475.44 | $475.44 |