| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $193.07 | $193.07 | $193.07 | |
CareFirst
| Professional | $306.57 | $306.57 | $306.57 | |
Kaiser Permanente
| Professional | $225.17 | $225.17 | $225.17 | |
United
| Professional | $124.04 | $186.05 | $186.05 |