| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $572.03 | $572.03 | $572.03 | |
CareFirst
| Professional | $833.69 | $833.69 | $833.69 | |
Kaiser Permanente
| Professional | $633.38 | $633.38 | $633.38 | |
United
| Professional | $367.64 | $551.47 | $551.47 |