| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.30 | $16.30 | $16.30 | |
Aetna
| Professional | $16.30 | $16.30 | $16.30 | |
CareFirst
| Professional | $14.84 | $14.84 | $14.84 | |
Cigna
| Professional | $13.99 | $13.99 | $13.99 | |
Kaiser Permanente
| Professional | $12.04 | $14.96 | $20.39 | |
United
| Professional | $13.38 | $13.38 | $15.12 | |
Wellpoint
| Professional | $15.45 | $15.45 | $15.45 |