| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $225.71 | $225.71 | $225.71 | |
CareFirst
| Professional | $314.10 | $314.10 | $314.11 | |
Kaiser Permanente
| Professional | $332.57 | $332.57 | $332.57 | |
United
| Professional | $160.60 | $268.62 | $268.62 |