| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $49.62 | $49.62 | $49.62 | |
CareFirst
| Professional | $84.34 | $84.34 | $84.34 | |
Kaiser Permanente
| Professional | $53.20 | $53.20 | $53.20 | |
United
| Professional | $31.90 | $47.85 | $47.85 |