| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $70.00 | $70.00 | $71.69 | |
CareFirst
| Professional | $140.00 | $140.00 | $140.00 | |
Kaiser Permanente
| Professional | $50.40 | $55.44 | $72.58 | |
Wellpoint
| Professional | $100.00 | $100.00 | $100.00 |