| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.83 | $15.83 | $15.83 | |
Aetna
| Professional | $15.27 | $15.83 | $20.26 | |
CareFirst
| Professional | $14.08 | $14.08 | $14.08 | |
Kaiser Permanente
| Professional | $13.85 | $15.58 | $15.58 | |
United
| Professional | $6.92 | $17.30 | $17.66 | |
Wellpoint
| Professional | $15.83 | $17.57 | $17.57 |