| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $11.21 | $16.93 | $20.37 | |
CareFirst
| Professional | $31.50 | $31.50 | $50.40 | |
Kaiser Permanente
| Professional | $20.84 | $26.19 | $34.15 | |
United
| Professional | $28.00 | $28.00 | $28.00 | |
Wellpoint
| Professional | $37.00 | $37.00 | $37.00 |