| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $24.74 | $24.74 | $24.74 | |
CareFirst
| Professional | $32.64 | $32.64 | $36.79 | |
Kaiser Permanente
| Professional | $29.33 | $29.33 | $29.33 | |
United
| Professional | $15.89 | $23.84 | $23.84 |