| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $13.97 | $16.13 | $25.17 | |
CareFirst
| Professional | $36.00 | $36.00 | $43.92 | |
Kaiser Permanente
| Professional | $17.28 | $19.87 | $35.95 | |
Wellpoint
| Professional | $35.00 | $35.00 | $35.00 |