| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $28.09 | $28.09 | $28.09 | |
CareFirst
| Professional | $33.40 | $33.40 | $36.72 | |
Kaiser Permanente
| Professional | $35.13 | $35.13 | $35.13 | |
United
| Professional | $18.03 | $27.05 | $27.05 |