| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1.05 | $1.05 | $22.99 | |
CareFirst
| Professional | $13.94 | $13.94 | $13.94 | |
Kaiser Permanente
| Professional | $1.00 | $1.00 | $1.00 | |
United
| Professional | $65.40 | $65.40 | $109.00 |