| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6.06 | $6.06 | $6.06 | |
Aetna
| Professional | $6.06 | $6.06 | $6.06 | |
CareFirst
| Professional | $6.80 | $6.80 | $6.80 | |
Kaiser Permanente
| Professional | $5.09 | $5.09 | $10.06 | |
United
| Professional | $2.10 | $5.74 | $16.70 |