| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $187.94 | $187.94 | $187.94 | |
CareFirst
| Professional | $305.39 | $305.39 | $366.48 | |
Kaiser Permanente
| Professional | $212.02 | $212.02 | $212.02 | |
United
| Professional | $133.72 | $223.67 | $223.67 |