| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $892.06 | $892.06 | $892.06 | |
CareFirst
| Professional | $1,219.84 | $1,219.84 | $1,219.84 | |
Kaiser Permanente
| Professional | $1,106.85 | $1,106.85 | $1,106.85 | |
United
| Professional | $572.85 | $859.28 | $859.28 |