| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.14 | $25.12 | $30.90 | |
CareFirst
| Professional | $25.12 | $28.18 | $28.18 | |
Kaiser Permanente
| Professional | $33.88 | $33.88 | $67.61 | |
United
| Professional | $21.38 | $27.54 | $81.28 |