| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $79.86 | $88.78 | $88.78 | |
CareFirst
| Professional | $65.00 | $65.00 | $72.00 | |
Kaiser Permanente
| Professional | $69.12 | $85.39 | $144.06 | |
United
| Professional | $47.62 | $61.35 | $112.58 |