| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $27.96 | $27.96 | $27.96 | |
CareFirst
| Professional | $47.51 | $47.51 | $47.51 | |
Kaiser Permanente
| Professional | $33.15 | $33.15 | $33.15 | |
United
| Professional | $17.96 | $26.93 | $26.93 |