| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $20.97 | $20.97 | $20.97 | |
CareFirst
| Professional | $28.08 | $28.08 | $30.90 | |
Kaiser Permanente
| Professional | $24.71 | $24.71 | $24.71 | |
United
| Professional | $13.02 | $20.21 | $20.21 |