| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $42.27 | $42.27 | $42.27 | |
CareFirst
| Professional | $58.79 | $58.79 | $58.79 | |
Kaiser Permanente
| Professional | $53.74 | $53.74 | $53.74 | |
United
| Professional | $27.14 | $40.70 | $40.70 |