| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.90 | $39.81 | $45.71 | |
CareFirst
| Professional | $28.18 | $31.62 | $34.67 | |
Kaiser Permanente
| Professional | $35.48 | $42.66 | $61.66 | |
United
| Professional | $30.90 | $38.02 | $69.18 |