| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $150.65 | $241.87 | $290.24 | |
CareFirst
| Professional | $204.53 | $204.67 | $1,297.42 | |
Kaiser Permanente
| Professional | $164.20 | $195.07 | $370.13 | |
United
| Professional | $163.38 | $245.08 | $473.50 |