| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $21.88 | $28.84 | $42.66 | |
CareFirst
| Professional | $31.62 | $31.62 | $31.62 | |
Kaiser Permanente
| Professional | $51.29 | $58.88 | $77.62 | |
United
| Facility | $51.29 | $51.29 | $51.29 | |
United
| Professional | $23.99 | $26.30 | $41.69 | |
Wellpoint
| Professional | $27.54 | $27.54 | $27.54 |