| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11.05 | $11.05 | $11.05 | |
Aetna
| Professional | $11.05 | $11.05 | $11.05 | |
CareFirst
| Professional | $7.55 | $7.55 | $7.55 | |
Kaiser Permanente
| Professional | $11.61 | $11.61 | $23.05 | |
United
| Professional | $3.86 | $6.23 | $28.39 |