| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11.41 | $11.41 | $11.41 | |
Aetna
| Professional | $20.00 | $20.00 | $20.00 | |
CareFirst
| Professional | $56.00 | $56.00 | $56.00 | |
Cigna
| Professional | $28.91 | $28.91 | $28.91 | |
Kaiser Permanente
| Professional | $26.00 | $45.00 | $62.00 | |
United
| Professional | $13.03 | $13.03 | $13.03 | |
Wellpoint
| Professional | $12.46 | $12.46 | $22.44 |