| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $73.26 | $73.26 | $73.26 | |
CareFirst
| Professional | $117.24 | $117.24 | $117.24 | |
Kaiser Permanente
| Professional | $88.39 | $88.39 | $88.39 | |
United
| Professional | $47.05 | $70.58 | $70.58 |