| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $21.10 | $27.36 | $29.64 | |
CareFirst
| Professional | $24.80 | $24.80 | $26.24 | |
Kaiser Permanente
| Professional | $28.40 | $35.08 | $63.75 | |
United
| Professional | $21.21 | $27.75 | $50.91 |