| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33.69 | $33.69 | $33.69 | |
Aetna
| Professional | $33.69 | $33.69 | $33.69 | |
CareFirst
| Professional | $23.31 | $23.31 | $23.31 | |
Kaiser Permanente
| Professional | $35.40 | $35.40 | $70.27 | |
United
| Professional | $11.77 | $18.98 | $86.56 |