| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $17.89 | $17.89 | $17.89 | |
CareFirst
| Professional | $22.77 | $280.30 | $448.01 | |
Kaiser Permanente
| Professional | $43.60 | $43.60 | $43.60 | |
United
| Professional | $15.00 | $46.14 | $55.21 |