| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6.69 | $26.90 | $78.18 | |
Aetna
| Professional | $13.52 | $18.82 | $28.23 | |
CareFirst
| Professional | $15.54 | $15.54 | $15.54 | |
Cigna
| Professional | $14.22 | $14.22 | $14.22 | |
Kaiser Permanente
| Professional | $27.84 | $35.36 | $44.27 | |
United
| Professional | $12.54 | $13.89 | $20.92 | |
Wellpoint
| Professional | $12.35 | $12.35 | $23.66 |