| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $24.15 | $24.15 | $24.15 | |
CareFirst
| Professional | $29.59 | $29.59 | $30.87 | |
Kaiser Permanente
| Professional | $29.52 | $29.52 | $29.52 | |
United
| Professional | $15.51 | $23.27 | $23.27 |