| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $14.72 | $14.72 | $14.72 | |
CareFirst
| Professional | $17.50 | $17.50 | $19.52 | |
Kaiser Permanente
| Professional | $18.66 | $18.66 | $18.66 | |
United
| Professional | $9.44 | $14.17 | $14.31 |