| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $11.69 | $11.69 | $11.69 | |
CareFirst
| Professional | $16.20 | $16.20 | $16.20 | |
Kaiser Permanente
| Professional | $14.42 | $14.42 | $14.42 | |
United
| Professional | $7.50 | $11.26 | $11.26 |