| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $7.54 | $7.54 | $9.42 | |
CareFirst
| Professional | $279.05 | $310.05 | $421.67 | |
Kaiser Permanente
| Professional | $474.00 | $785.00 | $785.00 | |
Wellpoint
| Professional | $150.00 | $150.00 | $150.00 |