| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.00 | $10.00 | $10.00 | |
CareFirst
| Professional | $15.93 | $15.93 | $21.02 | |
Kaiser Permanente
| Professional | $53.42 | $53.42 | $53.42 | |
United
| Professional | $15.46 | $23.00 | $69.55 |