| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.50 | $41.69 | $74.13 | |
Aetna
| Professional | $12.59 | $23.44 | $46.77 | |
CareFirst
| Professional | $22.91 | $22.91 | $22.91 | |
Cigna
| Professional | $22.91 | $22.91 | $22.91 | |
Kaiser Permanente
| Professional | $19.95 | $23.44 | $24.55 | |
United
| Facility | $23.44 | $23.44 | $23.44 | |
United
| Professional | $20.89 | $23.99 | $25.12 | |
Wellpoint
| Professional | $22.39 | $22.39 | $22.39 |