| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.57 | $30.57 | $30.57 | |
CareFirst
| Professional | $57.16 | $57.16 | $57.16 | |
Kaiser Permanente
| Professional | $34.95 | $34.95 | $34.95 | |
United
| Professional | $19.64 | $29.47 | $29.47 |