| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $31.87 | $31.87 | $31.87 | |
CareFirst
| Professional | $37.90 | $37.90 | $41.90 | |
Kaiser Permanente
| Professional | $40.07 | $40.07 | $40.07 | |
United
| Professional | $20.46 | $30.70 | $30.70 |