| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $12.29 | $13.50 | $13.50 | |
CareFirst
| Professional | $15.88 | $15.88 | $82.96 | |
Kaiser Permanente
| Professional | $17.94 | $36.28 | $36.28 | |
United
| Professional | $13.44 | $34.69 | $51.44 |