| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $57.34 | $64.98 | $76.45 | |
Aetna
| Professional | $57.34 | $76.45 | $229.49 | |
CareFirst
| Professional | $71.75 | $71.75 | $71.75 | |
Kaiser Permanente
| Professional | $85.89 | $85.89 | $178.88 | |
United
| Professional | $62.56 | $104.10 | $197.65 |