| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.08 | $29.64 | $29.64 | |
CareFirst
| Professional | $24.80 | $24.80 | $24.80 | |
Kaiser Permanente
| Professional | $33.40 | $33.40 | $33.40 | |
United
| Professional | $21.21 | $29.11 | $87.39 |