| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6.41 | $6.41 | $6.41 | |
Aetna
| Professional | $6.41 | $6.41 | $6.41 | |
CareFirst
| Professional | $4.40 | $4.40 | $4.40 | |
Kaiser Permanente
| Professional | $6.74 | $6.74 | $13.38 | |
United
| Professional | $2.24 | $10.89 | $16.48 |