| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $42.38 | $42.38 | $42.38 | |
Aetna
| Professional | $42.38 | $42.38 | $54.25 | |
CareFirst
| Professional | $42.28 | $42.28 | $42.28 | |
Kaiser Permanente
| Professional | $980.53 | $1,138.44 | $1,470.80 | |
United
| Professional | $42.28 | $42.28 | $44.82 |