| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5.00 | $5.00 | $15.79 | |
Aetna
| Professional | $5.00 | $25.00 | $60.64 | |
CareFirst
| Professional | $7.72 | $7.72 | $7.72 | |
Cigna
| Professional | $15.76 | $16.50 | $20.78 | |
Kaiser Permanente
| Professional | $8.80 | $10.21 | $13.20 | |
United
| Professional | $10.38 | $13.93 | $25.14 | |
Wellpoint
| Professional | $10.11 | $10.11 | $10.11 |