| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $27.12 | $27.12 | $27.12 | |
CareFirst
| Professional | $34.47 | $34.47 | $36.07 | |
Kaiser Permanente
| Professional | $34.29 | $34.29 | $34.29 | |
United
| Professional | $17.55 | $26.33 | $26.33 |