| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $225.15 | $225.15 | $225.15 | |
CareFirst
| Professional | $352.81 | $352.81 | $352.81 | |
Kaiser Permanente
| Professional | $264.19 | $264.19 | $264.19 | |
United
| Professional | $144.63 | $216.97 | $216.97 |