| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $41.12 | $41.12 | $41.12 | |
CareFirst
| Professional | $71.18 | $71.18 | $76.89 | |
Kaiser Permanente
| Professional | $39.72 | $39.72 | $39.72 | |
United
| Professional | $26.45 | $39.67 | $51.64 |