| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $43.55 | $43.55 | $43.55 | |
CareFirst
| Professional | $51.80 | $51.80 | $59.80 | |
Kaiser Permanente
| Professional | $54.01 | $54.01 | $54.01 | |
United
| Professional | $27.97 | $41.95 | $43.28 |