| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $231.60 | $231.60 | $231.60 | |
CareFirst
| Professional | $326.88 | $326.88 | $326.88 | |
Kaiser Permanente
| Professional | $283.91 | $283.91 | $283.91 | |
United
| Professional | $148.74 | $223.10 | $223.10 |