| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $44.99 | $44.99 | $44.99 | |
CareFirst
| Professional | $76.45 | $76.45 | $76.45 | |
Kaiser Permanente
| Professional | $52.63 | $52.63 | $52.63 | |
United
| Professional | $28.90 | $43.36 | $43.36 |