| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $37.75 | $37.75 | $37.75 | |
CareFirst
| Professional | $60.40 | $60.40 | $60.40 | |
Kaiser Permanente
| Professional | $44.05 | $44.05 | $44.05 | |
United
| Professional | $24.25 | $36.38 | $36.38 |