| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13.64 | $13.64 | $13.64 | |
Aetna
| Professional | $13.64 | $13.64 | $13.64 | |
CareFirst
| Professional | $9.31 | $9.31 | $9.31 | |
Kaiser Permanente
| Professional | $14.33 | $14.33 | $28.44 | |
United
| Professional | $4.76 | $7.69 | $35.03 |