| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $20.02 | $37.90 | $37.90 | |
CareFirst
| Professional | $32.94 | $32.94 | $32.94 | |
Kaiser Permanente
| Professional | $39.74 | $39.74 | $39.74 | |
United
| Professional | $14.85 | $23.90 | $108.80 |