| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $365.44 | $365.44 | $365.44 | |
CareFirst
| Professional | $671.60 | $671.60 | $873.08 | |
Kaiser Permanente
| Professional | $497.48 | $497.48 | $497.48 | |
United
| Professional | $260.02 | $434.93 | $434.93 |