| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.22 | $16.22 | $16.22 | |
Aetna
| Professional | $15.85 | $15.85 | $34.67 | |
CareFirst
| Professional | $14.79 | $14.79 | $14.79 | |
Kaiser Permanente
| Professional | $12.02 | $15.85 | $25.12 | |
United
| Professional | $12.88 | $13.49 | $15.49 | |
Wellpoint
| Professional | $15.49 | $15.49 | $15.49 |