| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $220.37 | $220.37 | $220.37 | |
CareFirst
| Professional | $312.83 | $312.83 | $348.88 | |
Kaiser Permanente
| Professional | $324.30 | $324.30 | $324.30 | |
United
| Professional | $156.81 | $262.27 | $262.27 |