| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $106.59 | $125.10 | $337.57 | |
CareFirst
| Professional | $1,700.00 | $1,700.00 | $2,057.00 | |
Kaiser Permanente
| Professional | $112.62 | $135.13 | $175.54 | |
United
| Professional | $97.37 | $121.62 | $206.59 |