| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $282.63 | $282.63 | $282.63 | |
CareFirst
| Professional | $480.28 | $480.28 | $480.28 | |
Kaiser Permanente
| Professional | $329.79 | $329.79 | $329.79 | |
United
| Professional | $181.58 | $272.36 | $272.36 |