| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $63.85 | $63.85 | $63.85 | |
CareFirst
| Professional | $76.15 | $76.15 | $94.36 | |
Kaiser Permanente
| Professional | $80.76 | $80.76 | $80.76 | |
United
| Professional | $48.61 | $61.98 | $61.98 |