| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $64.89 | $64.89 | $64.89 | |
CareFirst
| Professional | $77.17 | $77.17 | $86.11 | |
Kaiser Permanente
| Professional | $82.36 | $82.36 | $82.36 | |
United
| Professional | $41.66 | $62.49 | $62.49 |