| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $38.90 | $38.90 | $38.90 | |
Aetna
| Professional | $14.13 | $23.99 | $33.11 | |
CareFirst
| Professional | $8.91 | $10.00 | $10.96 | |
Kaiser Permanente
| Professional | $30.90 | $52.48 | $77.62 | |
United
| Professional | $1.86 | $20.42 | $37.15 |