| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $29.37 | $29.37 | $29.37 | |
CareFirst
| Professional | $40.19 | $40.19 | $43.80 | |
Kaiser Permanente
| Professional | $36.42 | $36.42 | $36.42 | |
United
| Professional | $18.86 | $28.28 | $28.28 |