| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $38.25 | $38.25 | $38.25 | |
CareFirst
| Professional | $71.51 | $71.51 | $71.51 | |
Kaiser Permanente
| Professional | $43.82 | $43.82 | $43.82 | |
United
| Professional | $24.58 | $36.86 | $36.86 |