| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $150.30 | $1,040.04 | $1,040.04 | |
CareFirst
| Professional | $332.45 | $332.45 | $548.54 | |
Kaiser Permanente
| Professional | $120.39 | $144.13 | $330.15 | |
United
| Professional | $293.27 | $500.94 | $795.96 |