| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $60.35 | $60.35 | $60.35 | |
CareFirst
| Professional | $71.78 | $71.78 | $81.20 | |
Kaiser Permanente
| Professional | $72.20 | $72.20 | $72.20 | |
United
| Professional | $38.76 | $58.14 | $58.14 |