| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.45 | $15.45 | $15.45 | |
CareFirst
| Professional | $21.35 | $168.35 | $269.08 | |
Kaiser Permanente
| Professional | $36.15 | $36.15 | $36.15 | |
United
| Professional | $18.12 | $22.85 | $54.04 |