| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $34.28 | $34.28 | $34.28 | |
CareFirst
| Professional | $40.78 | $40.78 | $45.44 | |
Kaiser Permanente
| Professional | $43.45 | $43.45 | $43.45 | |
United
| Professional | $22.01 | $33.02 | $33.02 |