| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $44.06 | $44.06 | $44.06 | |
CareFirst
| Professional | $52.41 | $52.41 | $57.45 | |
Kaiser Permanente
| Professional | $54.94 | $54.94 | $54.94 | |
United
| Professional | $28.30 | $42.44 | $42.44 |