| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.00 | $10.00 | $10.00 | |
CareFirst
| Professional | $45.00 | $45.00 | $45.00 | |
Kaiser Permanente
| Professional | $23.00 | $29.00 | $29.00 | |
Wellpoint
| Professional | $31.41 | $31.41 | $31.41 |