| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.51 | $22.51 | $22.51 | |
Aetna
| Professional | $20.52 | $22.51 | $23.20 | |
CareFirst
| Professional | $20.70 | $20.70 | $26.00 | |
Kaiser Permanente
| Professional | $26.11 | $30.23 | $56.55 |