| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $205.49 | $205.49 | $205.49 | |
Aetna
| Professional | $205.49 | $205.49 | $205.49 | |
CareFirst
| Professional | $473.40 | $489.00 | $489.00 | |
Kaiser Permanente
| Professional | $231.82 | $231.82 | $733.89 | |
United
| Professional | $146.22 | $244.56 | $380.63 |