| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $11.93 | $11.93 | $11.93 | |
CareFirst
| Professional | $14.20 | $14.20 | $15.88 | |
Kaiser Permanente
| Professional | $15.18 | $15.18 | $15.18 | |
United
| Professional | $7.66 | $11.50 | $11.50 |