| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $286.57 | $286.57 | $286.57 | |
CareFirst
| Professional | $315.50 | $315.50 | $378.60 | |
Kaiser Permanente
| Professional | $323.30 | $323.30 | $323.30 | |
United
| Professional | $203.91 | $341.06 | $341.06 |