| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $277.02 | $277.02 | $277.02 | |
CareFirst
| Professional | $377.72 | $377.72 | $380.80 | |
Kaiser Permanente
| Professional | $434.08 | $434.08 | $434.08 | |
United
| Professional | $185.60 | $278.39 | $282.83 |