| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.68 | $20.68 | $20.68 | |
Aetna
| Professional | $20.68 | $20.68 | $20.68 | |
CareFirst
| Professional | $18.37 | $18.37 | $18.37 | |
Kaiser Permanente
| Professional | $19.86 | $19.86 | $39.19 | |
United
| Professional | $7.18 | $17.37 | $48.28 |