| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24.86 | $24.86 | $24.86 | |
Aetna
| Professional | $24.85 | $24.86 | $29.56 | |
CareFirst
| Professional | $24.86 | $24.86 | $24.86 | |
Cigna
| Professional | $27.44 | $27.44 | $27.44 | |
Kaiser Permanente
| Professional | $39.00 | $39.00 | $46.93 | |
United
| Professional | $27.79 | $29.25 | $31.40 | |
Wellpoint
| Professional | $27.79 | $27.79 | $27.79 |