| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $44.10 | $44.10 | $44.10 | |
CareFirst
| Professional | $62.45 | $62.45 | $72.09 | |
Kaiser Permanente
| Professional | $50.74 | $50.74 | $50.74 | |
United
| Professional | $28.34 | $42.50 | $42.50 |