| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.62 | $20.62 | $20.62 | |
Aetna
| Professional | $20.62 | $20.62 | $26.39 | |
CareFirst
| Professional | $30.83 | $30.83 | $30.83 | |
Kaiser Permanente
| Professional | $12.64 | $12.64 | $12.64 | |
United
| Professional | $18.47 | $19.64 | $31.85 |