| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $16.60 | $16.60 | $16.60 | |
CareFirst
| Professional | $21.53 | $21.53 | $22.02 | |
Kaiser Permanente
| Professional | $21.05 | $21.05 | $21.05 | |
United
| Professional | $10.66 | $15.99 | $16.14 |