| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $195.79 | $195.79 | $195.79 | |
CareFirst
| Professional | $251.73 | $251.73 | $257.25 | |
Kaiser Permanente
| Professional | $246.04 | $246.04 | $246.04 | |
United
| Professional | $125.72 | $188.58 | $188.58 |