| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $21.31 | $21.31 | $21.31 | |
CareFirst
| Professional | $25.48 | $25.48 | $27.50 | |
Kaiser Permanente
| Professional | $26.30 | $26.30 | $26.30 | |
United
| Professional | $13.69 | $20.53 | $20.53 |