| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $20.09 | $50.94 | $64.79 | |
CareFirst
| Professional | $27.00 | $27.00 | $32.94 | |
Kaiser Permanente
| Professional | $69.80 | $80.95 | $110.39 | |
Wellpoint
| Professional | $30.00 | $30.00 | $30.00 |