| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.73 | $19.73 | $19.73 | |
CareFirst
| Professional | $23.49 | $23.49 | $32.40 | |
Kaiser Permanente
| Professional | $25.06 | $25.06 | $25.06 | |
United
| Professional | $12.68 | $19.01 | $19.19 |