| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $20.89 | $30.90 | $43.65 | |
CareFirst
| Professional | $33.11 | $37.15 | $40.74 | |
Kaiser Permanente
| Professional | $32.36 | $38.90 | $54.95 | |
United
| Professional | $15.85 | $23.99 | $44.67 |