| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $267.95 | $267.95 | $267.95 | |
CareFirst
| Professional | $318.70 | $318.70 | $344.67 | |
Kaiser Permanente
| Professional | $329.65 | $329.65 | $329.65 | |
United
| Professional | $172.08 | $258.13 | $286.06 |