| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $66.18 | $78.59 | $98.70 | |
CareFirst
| Professional | $92.16 | $92.16 | $92.16 | |
Kaiser Permanente
| Professional | $34.56 | $40.65 | $60.71 | |
Wellpoint
| Professional | $15.39 | $15.39 | $15.39 |