| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23.47 | $23.47 | $23.47 | |
Aetna
| Professional | $23.47 | $23.47 | $23.47 | |
CareFirst
| Professional | $16.23 | $16.23 | $16.23 | |
Kaiser Permanente
| Professional | $24.66 | $24.66 | $48.95 | |
United
| Professional | $8.19 | $8.19 | $60.29 |