| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $23.96 | $45.05 | $45.05 | |
CareFirst
| Professional | $39.60 | $39.60 | $39.60 | |
Kaiser Permanente
| Professional | $51.25 | $51.25 | $51.25 | |
United
| Professional | $32.52 | $39.43 | $128.82 |