| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $257.33 | $257.33 | $257.33 | |
CareFirst
| Professional | $306.89 | $306.89 | $342.27 | |
Kaiser Permanente
| Professional | $325.44 | $325.44 | $325.44 | |
United
| Professional | $166.53 | $249.79 | $249.79 |