| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $407.37 | $407.37 | $407.37 | |
CareFirst
| Professional | $545.52 | $545.52 | $545.52 | |
Kaiser Permanente
| Professional | $497.09 | $497.09 | $497.09 | |
United
| Professional | $263.70 | $392.44 | $392.44 |