| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $86.53 | $86.53 | $86.53 | |
CareFirst
| Professional | $125.86 | $125.86 | $125.86 | |
Kaiser Permanente
| Professional | $100.36 | $100.36 | $100.36 | |
United
| Professional | $55.60 | $83.39 | $97.72 |