| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $39.94 | $39.94 | $39.94 | |
Aetna
| Professional | $24.63 | $39.94 | $39.94 | |
CareFirst
| Professional | $9.99 | $9.99 | $10.89 | |
Kaiser Permanente
| Professional | $44.37 | $51.37 | $77.51 | |
United
| Professional | $1.98 | $14.40 | $27.66 |