| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $235.87 | $235.87 | $235.87 | |
CareFirst
| Professional | $293.68 | $293.68 | $293.68 | |
Kaiser Permanente
| Professional | $255.08 | $322.20 | $383.31 | |
United
| Professional | $225.98 | $299.20 | $514.64 |