| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $21.75 | $21.75 | $21.75 | |
CareFirst
| Professional | $25.87 | $25.87 | $28.02 | |
Kaiser Permanente
| Professional | $26.80 | $26.80 | $26.80 | |
United
| Professional | $13.97 | $20.95 | $20.95 |