| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $32.76 | $32.76 | $32.76 | |
CareFirst
| Professional | $45.42 | $464.09 | $741.77 | |
Kaiser Permanente
| Professional | $76.67 | $76.67 | $76.67 | |
United
| Professional | $45.39 | $54.76 | $139.56 |