| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.75 | $30.75 | $30.75 | |
Aetna
| Professional | $30.75 | $30.75 | $35.06 | |
CareFirst
| Professional | $36.02 | $36.02 | $36.02 | |
Kaiser Permanente
| Professional | $31.38 | $36.44 | $47.07 | |
United
| Professional | $24.28 | $24.28 | $27.44 | |
Wellpoint
| Professional | $23.91 | $23.91 | $23.91 |