| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $248.00 | $248.00 | $248.00 | |
CareFirst
| Professional | $320.32 | $320.32 | $325.32 | |
Kaiser Permanente
| Professional | $311.14 | $311.14 | $311.14 | |
United
| Professional | $159.24 | $238.87 | $238.87 |