| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.09 | $15.09 | $15.09 | |
CareFirst
| Professional | $17.82 | $416.00 | $664.91 | |
Kaiser Permanente
| Professional | $37.06 | $37.06 | $37.06 | |
United
| Professional | $11.99 | $20.03 | $46.93 |