| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.72 | $30.72 | $30.72 | |
CareFirst
| Professional | $40.03 | $40.03 | $40.54 | |
Kaiser Permanente
| Professional | $38.79 | $38.79 | $38.79 | |
United
| Professional | $19.72 | $29.59 | $29.59 |