| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17.78 | $17.78 | $17.78 | |
Aetna
| Professional | $16.60 | $16.98 | $24.55 | |
CareFirst
| Professional | $17.78 | $17.78 | $17.78 | |
United
| Professional | $20.89 | $20.89 | $21.88 | |
Wellpoint
| Professional | $17.38 | $17.38 | $17.38 |