| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.95 | $25.12 | $51.29 | |
CareFirst
| Professional | $40.74 | $44.67 | $61.66 | |
Kaiser Permanente
| Professional | $19.95 | $26.92 | $37.15 | |
United
| Professional | $28.18 | $33.11 | $102.33 |