| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.68 | $30.68 | $30.68 | |
CareFirst
| Professional | $36.49 | $36.49 | $40.04 | |
Kaiser Permanente
| Professional | $38.29 | $38.29 | $38.29 | |
United
| Professional | $19.70 | $29.55 | $29.55 |