| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $18.25 | $18.25 | $18.25 | |
CareFirst
| Professional | $18.32 | $18.32 | $18.32 | |
Kaiser Permanente
| Professional | $42.79 | $42.79 | $42.79 | |
United
| Professional | $15.55 | $54.19 | $56.03 |