| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $27.14 | $27.14 | $27.14 | |
Aetna
| Professional | $24.73 | $27.14 | $37.40 | |
CareFirst
| Professional | $37.79 | $37.79 | $41.20 | |
Kaiser Permanente
| Professional | $31.48 | $36.45 | $68.18 |