| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $86.42 | $86.42 | $86.42 | |
CareFirst
| Professional | $123.75 | $123.75 | $143.00 | |
Kaiser Permanente
| Professional | $135.34 | $135.34 | $135.34 | |
United
| Professional | $61.49 | $102.85 | $102.85 |