| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $108.09 | $118.44 | $118.44 | |
CareFirst
| Professional | $118.39 | $118.39 | $1,712.00 | |
Kaiser Permanente
| Professional | $120.24 | $138.26 | $180.35 | |
United
| Professional | $85.80 | $131.16 | $225.79 |