| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13.57 | $13.57 | $13.57 | |
Aetna
| Professional | $12.40 | $13.57 | $17.82 | |
CareFirst
| Professional | $21.60 | $24.00 | $26.16 | |
Kaiser Permanente
| Professional | $15.73 | $18.22 | $34.09 |