| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $28.87 | $28.87 | $28.87 | |
CareFirst
| Professional | $29.53 | $29.53 | $29.53 | |
Kaiser Permanente
| Professional | $66.81 | $66.81 | $66.81 | |
United
| Professional | $26.14 | $41.05 | $88.16 |