| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $386.05 | $386.05 | $386.05 | |
CareFirst
| Professional | $460.38 | $460.38 | $513.45 | |
Kaiser Permanente
| Professional | $488.22 | $488.22 | $488.22 | |
United
| Professional | $249.81 | $374.72 | $374.72 |