| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $48.98 | $64.57 | $75.86 | |
CareFirst
| Professional | $66.07 | $74.13 | $89.13 | |
Kaiser Permanente
| Professional | $89.13 | $100.00 | $147.91 | |
United
| Facility | $660.69 | $660.69 | $660.69 | |
United
| Professional | $50.12 | $72.44 | $128.82 |