| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $62.54 | $67.78 | $77.59 | |
CareFirst
| Professional | $73.87 | $73.87 | $84.43 | |
Kaiser Permanente
| Professional | $85.67 | $110.51 | $149.47 | |
United
| Professional | $50.46 | $66.58 | $122.24 |