| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $51.35 | $58.46 | $59.25 | |
CareFirst
| Professional | $63.20 | $71.09 | $81.05 | |
Kaiser Permanente
| Professional | $79.00 | $94.80 | $118.50 | |
United
| Professional | $33.18 | $35.54 | $63.16 | |
Wellpoint
| Professional | $39.50 | $39.50 | $39.50 |