| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $448.52 | $448.52 | $448.52 | |
CareFirst
| Professional | $827.80 | $827.80 | $827.80 | |
Kaiser Permanente
| Professional | $659.88 | $659.88 | $659.88 | |
United
| Professional | $319.14 | $533.80 | $533.80 |