| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $21.14 | $59.97 | $70.54 | |
CareFirst
| Professional | $39.43 | $39.43 | $45.06 | |
Kaiser Permanente
| Professional | $85.32 | $110.06 | $127.98 | |
United
| Professional | $16.59 | $24.63 | $52.31 |