| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $40.74 | $40.74 | $40.74 | |
Aetna
| Professional | $39.81 | $40.74 | $81.28 | |
CareFirst
| Professional | $63.10 | $70.79 | $93.33 | |
Kaiser Permanente
| Professional | $48.98 | $51.29 | $109.65 |