| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $214.00 | $214.00 | $214.00 | |
CareFirst
| Professional | $327.55 | $327.55 | $327.55 | |
Kaiser Permanente
| Professional | $253.73 | $253.73 | $253.73 | |
United
| Professional | $137.47 | $206.20 | $206.20 |