| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $26.66 | $26.66 | $26.66 | |
CareFirst
| Professional | $42.93 | $42.93 | $42.93 | |
Kaiser Permanente
| Professional | $31.02 | $31.02 | $31.02 | |
United
| Professional | $17.13 | $25.69 | $25.69 |