| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $67.80 | $67.80 | $67.80 | |
CareFirst
| Professional | $80.64 | $80.64 | $85.78 | |
Kaiser Permanente
| Professional | $82.04 | $82.04 | $82.04 | |
United
| Professional | $43.54 | $65.31 | $65.31 |