| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $53.88 | $53.88 | $53.88 | |
CareFirst
| Professional | $68.92 | $68.92 | $79.50 | |
Kaiser Permanente
| Professional | $64.86 | $64.86 | $64.86 | |
United
| Professional | $34.60 | $51.91 | $51.91 |