| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.00 | $10.00 | $10.00 | |
CareFirst
| Professional | $15.93 | $80.02 | $127.89 | |
Kaiser Permanente
| Professional | $48.44 | $48.44 | $48.44 | |
United
| Professional | $15.46 | $20.99 | $63.07 |