| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.68 | $18.68 | $25.69 | |
Aetna
| Professional | $16.82 | $19.14 | $21.90 | |
CareFirst
| Professional | $18.68 | $18.68 | $18.68 | |
Cigna
| Professional | $20.65 | $20.65 | $20.65 | |
Kaiser Permanente
| Professional | $31.15 | $41.00 | $41.00 | |
United
| Professional | $20.67 | $21.98 | $24.19 | |
Wellpoint
| Professional | $20.88 | $20.88 | $20.88 |