| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.88 | $12.88 | $12.88 | |
Aetna
| Professional | $10.96 | $12.88 | $22.91 | |
CareFirst
| Professional | $16.98 | $22.39 | $25.12 | |
Kaiser Permanente
| Professional | $15.49 | $16.98 | $33.88 |