| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11.03 | $11.03 | $11.03 | |
Aetna
| Professional | $6.62 | $11.03 | $15.00 | |
CareFirst
| Professional | $11.62 | $11.62 | $11.62 | |
Cigna
| Professional | $10.91 | $10.91 | $10.91 | |
Kaiser Permanente
| Professional | $10.46 | $11.03 | $11.03 | |
United
| Professional | $9.76 | $11.62 | $11.62 | |
Wellpoint
| Professional | $10.93 | $10.93 | $10.93 |