| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11.48 | $11.48 | $11.48 | |
Aetna
| Professional | $19.95 | $19.95 | $19.95 | |
CareFirst
| Professional | $56.23 | $56.23 | $56.23 | |
Cigna
| Professional | $28.84 | $28.84 | $28.84 | |
Kaiser Permanente
| Professional | $25.70 | $44.67 | $61.66 | |
United
| Professional | $12.88 | $12.88 | $26.30 | |
Wellpoint
| Professional | $12.59 | $12.59 | $22.39 |