| 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 | $30.90 | |
Kaiser Permanente
| Professional | $26.92 | $32.36 | $47.86 | |
United
| Professional | $21.38 | $29.51 | $54.95 |