| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $101.49 | $101.49 | $101.49 | |
CareFirst
| Professional | $136.54 | $136.54 | $136.54 | |
Kaiser Permanente
| Professional | $119.58 | $119.58 | $119.58 | |
United
| Professional | $64.42 | $97.80 | $113.89 |