| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7.86 | $7.86 | $7.86 | |
Aetna
| Professional | $7.86 | $7.86 | $7.86 | |
CareFirst
| Professional | $9.90 | $9.90 | $9.90 | |
Kaiser Permanente
| Professional | $6.05 | $6.05 | $11.93 | |
United
| Professional | $2.73 | $13.08 | $24.32 |