| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $29.92 | $29.92 | $29.92 | |
CareFirst
| Professional | $39.64 | $39.64 | $39.64 | |
Kaiser Permanente
| Professional | $37.67 | $37.67 | $37.67 | |
United
| Professional | $19.21 | $28.82 | $28.82 |