| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $39.81 | $275.42 | $562.34 | |
CareFirst
| Professional | $46.77 | $954.99 | $1,071.52 | |
Kaiser Permanente
| Professional | $97.72 | $97.72 | $104.71 | |
United
| Professional | $35.48 | $41.69 | $208.93 |