| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.89 | $14.89 | $14.89 | |
Aetna
| Professional | $14.89 | $15.17 | $16.97 | |
CareFirst
| Professional | $14.28 | $14.28 | $14.28 | |
Cigna
| Professional | $16.64 | $16.64 | $16.64 | |
Kaiser Permanente
| Professional | $21.24 | $21.24 | $21.24 | |
United
| Professional | $15.17 | $19.94 | $23.60 | |
Wellpoint
| Professional | $10.14 | $10.14 | $10.14 |