| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $247.19 | $247.19 | $247.19 | |
CareFirst
| Professional | $321.29 | $321.29 | $323.52 | |
Kaiser Permanente
| Professional | $309.43 | $309.43 | $309.43 | |
United
| Professional | $158.72 | $238.09 | $238.09 |