| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $54.95 | $64.57 | $83.18 | |
CareFirst
| Professional | $56.23 | $63.10 | $70.79 | |
Kaiser Permanente
| Professional | $79.43 | $91.20 | $117.49 | |
United
| Facility | $60.26 | $60.26 | $60.26 | |
United
| Professional | $33.11 | $35.48 | $64.57 | |
Wellpoint
| Professional | $39.81 | $39.81 | $39.81 |