| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $53.81 | $53.81 | $53.81 | |
CareFirst
| Professional | $91.44 | $91.44 | $91.44 | |
Kaiser Permanente
| Professional | $60.15 | $60.15 | $60.15 | |
United
| Professional | $34.58 | $51.86 | $51.86 |