| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $143.52 | $143.52 | $143.52 | |
CareFirst
| Professional | $199.50 | $663.99 | $1,061.27 | |
Kaiser Permanente
| Professional | $340.01 | $340.01 | $340.01 | |
United
| Professional | $136.80 | $213.42 | $481.67 |