| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $56.75 | $534.64 | $620.90 | |
CareFirst
| Professional | $1,071.72 | $1,071.72 | $1,071.72 | |
Kaiser Permanente
| Professional | $95.44 | $95.44 | $95.44 | |
United
| Professional | $39.18 | $66.68 | $235.05 |