| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.66 | $10.66 | $10.66 | |
Aetna
| Professional | $10.66 | $10.66 | $10.66 | |
CareFirst
| Professional | $7.38 | $7.38 | $7.38 | |
Kaiser Permanente
| Professional | $11.20 | $11.20 | $22.24 | |
United
| Professional | $3.72 | $6.02 | $27.39 |