| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $274.27 | $274.27 | $274.27 | |
CareFirst
| Professional | $327.08 | $327.08 | $364.78 | |
Kaiser Permanente
| Professional | $346.85 | $346.85 | $346.85 | |
United
| Professional | $167.34 | $266.20 | $266.20 |