| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.91 | $10.91 | $10.91 | |
CareFirst
| Professional | $16.12 | $16.12 | $16.12 | |
Kaiser Permanente
| Professional | $13.18 | $13.18 | $13.18 | |
United
| Professional | $7.01 | $10.51 | $10.51 |