| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4.51 | $4.51 | $4.51 | |
Aetna
| Professional | $4.51 | $4.51 | $4.51 | |
CareFirst
| Professional | $5.19 | $5.19 | $5.19 | |
Kaiser Permanente
| Professional | $3.74 | $3.74 | $7.38 | |
United
| Professional | $1.57 | $4.38 | $12.75 |