| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $58.12 | $65.87 | $77.50 | |
Aetna
| Professional | $64.91 | $75.31 | $233.96 | |
CareFirst
| Professional | $56.35 | $56.35 | $67.20 | |
Kaiser Permanente
| Professional | $87.07 | $87.07 | $182.13 | |
United
| Professional | $46.46 | $84.64 | $161.06 |