| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $213.80 | $275.42 | $275.42 | |
CareFirst
| Professional | $114.82 | $363.08 | $416.87 | |
Kaiser Permanente
| Professional | $676.08 | $933.25 | $933.25 | |
United
| Facility | $120.23 | $134.90 | $134.90 |