| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $16.26 | $16.26 | $16.26 | |
CareFirst
| Professional | $19.93 | $19.93 | $20.78 | |
Kaiser Permanente
| Professional | $19.88 | $19.88 | $19.88 | |
United
| Professional | $10.44 | $15.67 | $15.67 |