| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $321.72 | $321.72 | $321.72 | |
CareFirst
| Professional | $383.66 | $383.66 | $427.88 | |
Kaiser Permanente
| Professional | $406.85 | $406.85 | $406.85 | |
United
| Professional | $208.18 | $312.27 | $312.27 |