| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.51 | $15.51 | $15.51 | |
Aetna
| Professional | $15.51 | $15.51 | $15.51 | |
CareFirst
| Professional | $11.40 | $11.40 | $11.40 | |
Kaiser Permanente
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $5.42 | $29.48 | $39.84 |