| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $616.44 | $616.44 | $616.44 | |
CareFirst
| Professional | $841.02 | $841.02 | $841.02 | |
Kaiser Permanente
| Professional | $746.63 | $746.63 | $746.63 | |
United
| Professional | $378.66 | $593.89 | $593.89 |