| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $233.04 | $233.04 | $233.04 | |
CareFirst
| Professional | $439.08 | $439.08 | $439.20 | |
Kaiser Permanente
| Professional | $262.89 | $262.89 | $262.89 | |
United
| Professional | $165.82 | $277.35 | $277.35 |