| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $42.02 | $42.02 | $42.02 | |
CareFirst
| Professional | $49.98 | $49.98 | $53.80 | |
Kaiser Permanente
| Professional | $51.45 | $51.45 | $51.45 | |
United
| Professional | $26.99 | $40.47 | $44.57 |