| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.77 | $25.77 | $25.77 | |
CareFirst
| Professional | $35.65 | $35.65 | $35.65 | |
Kaiser Permanente
| Professional | $32.60 | $32.60 | $32.60 | |
United
| Professional | $16.54 | $24.82 | $24.82 |