| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.96 | $14.96 | $14.96 | |
Aetna
| Professional | $14.96 | $14.96 | $14.96 | |
CareFirst
| Professional | $13.66 | $13.66 | $13.66 | |
Kaiser Permanente
| Professional | $14.18 | $14.18 | $27.97 | |
United
| Professional | $5.19 | $12.92 | $34.45 |