| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $45.15 | $45.15 | $45.15 | |
CareFirst
| Professional | $67.44 | $67.44 | $90.72 | |
Kaiser Permanente
| Professional | $50.58 | $50.58 | $50.58 | |
United
| Professional | $30.78 | $43.52 | $43.52 |