| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $58.06 | $58.06 | $58.06 | |
CareFirst
| Professional | $81.40 | $81.40 | $81.40 | |
Kaiser Permanente
| Professional | $145.97 | $145.97 | $145.97 | |
United
| Professional | $64.34 | $184.85 | $226.00 |