| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9.34 | $9.34 | $9.34 | |
Aetna
| Professional | $9.33 | $9.34 | $11.27 | |
CareFirst
| Professional | $10.99 | $10.99 | $10.99 | |
Cigna
| Professional | $10.33 | $10.33 | $10.33 | |
Kaiser Permanente
| Professional | $16.41 | $31.00 | $31.00 | |
United
| Professional | $10.44 | $10.99 | $11.80 | |
Wellpoint
| Professional | $10.44 | $10.44 | $10.44 |