| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.63 | $19.63 | $19.63 | |
CareFirst
| Professional | $21.13 | $21.13 | $21.13 | |
Kaiser Permanente
| Professional | $46.02 | $46.02 | $46.02 | |
United
| Professional | $15.27 | $48.81 | $59.15 |