| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $747.76 | $747.76 | $747.76 | |
CareFirst
| Professional | $1,056.26 | $1,056.26 | $1,056.26 | |
Kaiser Permanente
| Professional | $1,171.90 | $1,171.90 | $1,171.90 | |
United
| Professional | $504.16 | $756.24 | $756.24 |