| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.00 | $10.00 | $10.00 | |
CareFirst
| Professional | $7.72 | $52.80 | $84.38 | |
Kaiser Permanente
| Professional | $34.11 | $34.11 | $34.11 | |
United
| Professional | $8.75 | $13.93 | $44.41 |