| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $33.17 | $33.17 | $33.17 | |
CareFirst
| Professional | $39.76 | $39.76 | $45.90 | |
Kaiser Permanente
| Professional | $38.49 | $38.49 | $38.49 | |
United
| Professional | $21.31 | $31.97 | $31.97 |