| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $71.25 | $71.25 | $71.25 | |
CareFirst
| Professional | $89.47 | $89.47 | $90.18 | |
Kaiser Permanente
| Professional | $86.26 | $86.26 | $86.26 | |
United
| Professional | $45.76 | $68.65 | $78.11 |