| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $193.27 | $193.27 | $193.27 | |
CareFirst
| Professional | $292.39 | $292.39 | $306.04 | |
Kaiser Permanente
| Professional | $284.45 | $284.45 | $284.45 | |
United
| Professional | $143.19 | $223.38 | $223.38 |