| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.97 | $28.97 | $28.97 | |
Aetna
| Professional | $26.46 | $28.97 | $28.97 | |
CareFirst
| Professional | $23.13 | $23.13 | $28.91 | |
Kaiser Permanente
| Professional | $22.41 | $26.73 | $59.68 | |
United
| Facility | $645.00 | $1,319.00 | $16,382.00 | |
United
| Professional | $21.56 | $32.97 | $75.25 |