| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $131.83 | $165.96 | $524.81 | |
CareFirst
| Professional | $602.56 | $776.25 | $1,737.80 | |
Kaiser Permanente
| Professional | $354.81 | $354.81 | $354.81 | |
United
| Professional | $138.04 | $316.23 | $478.63 |