| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $64.00 | $64.00 | $79.00 | |
CareFirst
| Professional | $1.96 | $1.96 | $1.96 | |
Kaiser Permanente
| Professional | $29.00 | $49.00 | $49.00 | |
Wellpoint
| Professional | $2.34 | $2.34 | $2.34 |