| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $234.15 | $234.15 | $234.15 | |
CareFirst
| Professional | $382.45 | $382.45 | $382.50 | |
Kaiser Permanente
| Professional | $264.14 | $264.14 | $264.14 | |
United
| Professional | $166.61 | $278.67 | $278.67 |