| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.85 | $19.05 | $26.92 | |
CareFirst
| Professional | $28.84 | $32.36 | $43.65 | |
Kaiser Permanente
| Professional | $18.20 | $23.99 | $33.11 | |
United
| Professional | $28.84 | $28.84 | $28.84 |