| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $131.83 | $131.83 | $346.74 | |
CareFirst
| Professional | $104.71 | $323.59 | $371.54 | |
Kaiser Permanente
| Professional | $257.04 | $426.58 | $426.58 | |
United
| Facility | $20.89 | $20.89 | $20.89 |