| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $408.09 | $408.09 | $408.09 | |
CareFirst
| Professional | $478.50 | $478.50 | $523.04 | |
Kaiser Permanente
| Professional | $351.37 | $351.37 | $351.37 | |
United
| Professional | $290.38 | $485.69 | $485.69 |