| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $8.47 | $11.48 | $15.56 | |
CareFirst
| Professional | $20.00 | $20.00 | $25.60 | |
Kaiser Permanente
| Professional | $15.55 | $20.12 | $26.03 | |
United
| Professional | $28.00 | $28.00 | $28.00 | |
Wellpoint
| Professional | $20.00 | $20.00 | $20.00 |