| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $39.51 | $39.51 | $39.51 | |
CareFirst
| Professional | $67.14 | $67.14 | $67.14 | |
Kaiser Permanente
| Professional | $47.21 | $47.21 | $47.21 | |
United
| Professional | $25.38 | $38.07 | $38.07 |