| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $26.62 | $26.62 | $26.62 | |
CareFirst
| Professional | $36.78 | $36.78 | $40.79 | |
Kaiser Permanente
| Professional | $32.90 | $32.90 | $32.90 | |
United
| Professional | $17.04 | $25.64 | $26.54 |