| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $26.92 | $39.81 | $48.98 | |
CareFirst
| Professional | $39.81 | $44.67 | $44.67 | |
Kaiser Permanente
| Professional | $53.70 | $53.70 | $102.33 | |
United
| Professional | $31.62 | $41.69 | $123.03 |