| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $26.04 | $26.04 | $26.04 | |
CareFirst
| Professional | $44.26 | $44.26 | $44.26 | |
Kaiser Permanente
| Professional | $28.23 | $28.23 | $28.23 | |
United
| Professional | $16.73 | $25.11 | $25.11 |