| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $22.01 | $25.40 | $25.40 | |
CareFirst
| Professional | $27.09 | $27.09 | $30.88 | |
Kaiser Permanente
| Professional | $33.86 | $40.63 | $59.12 | |
United
| Professional | $14.22 | $15.24 | $26.25 | |
Wellpoint
| Professional | $16.93 | $16.93 | $16.93 |