| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $214.38 | $214.38 | $214.38 | |
CareFirst
| Professional | $422.80 | $422.80 | $549.64 | |
Kaiser Permanente
| Professional | $281.70 | $281.70 | $281.70 | |
United
| Professional | $152.54 | $255.14 | $255.14 |