| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11.52 | $11.52 | $11.52 | |
Aetna
| Professional | $11.52 | $11.52 | $11.52 | |
CareFirst
| Professional | $7.25 | $7.25 | $7.25 | |
Kaiser Permanente
| Professional | $22.22 | $22.22 | $22.22 | |
United
| Professional | $14.26 | $14.40 | $18.70 |