| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $245.32 | $245.32 | $245.32 | |
CareFirst
| Professional | $416.92 | $416.92 | $416.92 | |
Kaiser Permanente
| Professional | $273.39 | $273.39 | $273.39 | |
United
| Professional | $157.66 | $236.48 | $284.95 |