| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $72.68 | $72.68 | $72.68 | |
CareFirst
| Professional | $87.63 | $87.63 | $93.49 | |
Kaiser Permanente
| Professional | $89.41 | $89.41 | $89.41 | |
United
| Professional | $46.68 | $70.02 | $70.02 |