| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $90.66 | $90.66 | $90.66 | |
CareFirst
| Professional | $146.96 | $146.96 | $146.96 | |
Kaiser Permanente
| Professional | $104.72 | $104.72 | $104.72 | |
United
| Professional | $58.25 | $87.37 | $87.37 |