| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $41.04 | $45.63 | $45.63 | |
CareFirst
| Professional | $26.50 | $26.50 | $29.50 | |
Kaiser Permanente
| Professional | $35.34 | $43.66 | $74.26 | |
United
| Professional | $22.84 | $31.63 | $57.49 | |
Wellpoint
| Professional | $42.00 | $42.00 | $42.00 |