| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $14.09 | $14.09 | $14.09 | |
CareFirst
| Professional | $19.64 | $19.64 | $22.60 | |
Kaiser Permanente
| Professional | $15.10 | $15.10 | $15.10 | |
United
| Professional | $9.06 | $13.58 | $13.58 |