| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $322.12 | $322.12 | $322.12 | |
CareFirst
| Professional | $539.00 | $539.00 | $539.00 | |
Kaiser Permanente
| Professional | $504.75 | $504.75 | $504.75 | |
United
| Professional | $219.24 | $328.86 | $328.86 |