| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $38.97 | $38.97 | $38.97 | |
Aetna
| Professional | $178.70 | $191.07 | $749.38 | |
CareFirst
| Professional | $124.97 | $124.97 | $1,369.00 | |
Kaiser Permanente
| Professional | $234.85 | $311.64 | $414.43 | |
United
| Professional | $33.75 | $49.50 | $178.33 |