| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $48.30 | $48.30 | $48.30 | |
CareFirst
| Professional | $62.49 | $62.49 | $72.20 | |
Kaiser Permanente
| Professional | $53.98 | $53.98 | $53.98 | |
United
| Professional | $31.36 | $46.57 | $46.57 |