| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.94 | $10.94 | $10.94 | |
CareFirst
| Professional | $13.39 | $13.39 | $13.39 | |
Kaiser Permanente
| Professional | $24.00 | $24.00 | $24.00 | |
United
| Professional | $15.59 | $15.75 | $18.89 |