| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.42 | $16.42 | $16.42 | |
Aetna
| Professional | $16.42 | $16.42 | $16.42 | |
CareFirst
| Professional | $11.27 | $11.27 | $11.27 | |
Kaiser Permanente
| Professional | $17.25 | $17.25 | $34.25 | |
United
| Professional | $5.74 | $9.58 | $42.19 |