| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $79.84 | $79.84 | $79.84 | |
CareFirst
| Professional | $136.69 | $136.69 | $136.69 | |
Kaiser Permanente
| Professional | $95.94 | $95.94 | $95.94 | |
United
| Professional | $51.29 | $76.93 | $76.93 |