| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $286.57 | $286.57 | $286.57 | |
CareFirst
| Professional | $406.91 | $406.91 | $453.81 | |
Kaiser Permanente
| Professional | $421.79 | $421.79 | $421.79 | |
United
| Professional | $203.91 | $341.06 | $341.06 |