| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.14 | $14.14 | $14.14 | |
Aetna
| Professional | $14.14 | $14.14 | $18.10 | |
CareFirst
| Professional | $19.47 | $19.47 | $19.47 | |
Kaiser Permanente
| Professional | $36.00 | $36.00 | $36.00 | |
Wellpoint
| Professional | $15.10 | $15.10 | $15.10 |