| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $63.10 | $95.50 | $537.03 | |
CareFirst
| Professional | $588.84 | $776.25 | $1,698.24 | |
Kaiser Permanente
| Professional | $151.36 | $151.36 | $151.36 | |
United
| Professional | $56.23 | $141.25 | $204.17 |