| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.93 | $97.52 | $97.52 | |
Aetna
| Professional | $14.93 | $14.93 | $14.93 | |
CareFirst
| Professional | $21.27 | $21.27 | $21.27 | |
Kaiser Permanente
| Professional | $35.21 | $35.21 | $35.21 | |
United
| Professional | $12.34 | $16.92 | $48.96 |