| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $79.43 | $79.43 | $147.91 | |
CareFirst
| Professional | $114.82 | $363.08 | $416.87 | |
Kaiser Permanente
| Professional | $416.87 | $691.83 | $691.83 | |
United
| Facility | $60.26 | $66.07 | $66.07 |