| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $37.56 | $37.56 | $37.56 | |
CareFirst
| Professional | $51.38 | $278.91 | $445.79 | |
Kaiser Permanente
| Professional | $87.04 | $87.04 | $87.04 | |
United
| Professional | $44.45 | $52.52 | $137.68 |