| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $12.73 | $12.73 | $12.73 | |
CareFirst
| Professional | $17.05 | $123.66 | $197.65 | |
Kaiser Permanente
| Professional | $29.01 | $29.01 | $29.01 | |
United
| Professional | $12.14 | $17.92 | $38.42 |