| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $130.66 | $130.66 | $130.66 | |
CareFirst
| Professional | $222.06 | $222.06 | $222.06 | |
Kaiser Permanente
| Professional | $146.11 | $146.11 | $146.11 | |
United
| Professional | $83.97 | $125.95 | $125.95 |