| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.98 | $0.98 | $0.98 | |
Aetna
| Professional | $93.33 | $97.72 | $134.90 | |
CareFirst
| Professional | $151.36 | $169.82 | $204.17 | |
Kaiser Permanente
| Professional | $181.97 | $234.42 | $309.03 | |
United
| Facility | $128.82 | $128.82 | $128.82 | |
United
| Professional | $144.54 | $199.53 | $407.38 |