| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $17.32 | $17.32 | $17.32 | |
CareFirst
| Professional | $25.68 | $25.68 | $25.68 | |
Kaiser Permanente
| Professional | $21.54 | $21.54 | $21.54 | |
United
| Professional | $11.13 | $16.69 | $16.69 |