| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $296.86 | $296.86 | $296.86 | |
CareFirst
| Professional | $474.69 | $474.69 | $474.69 | |
Kaiser Permanente
| Professional | $345.12 | $345.12 | $345.12 | |
United
| Professional | $190.72 | $286.08 | $286.08 |