| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $54.73 | $54.73 | $54.73 | |
Aetna
| Professional | $6.98 | $9.72 | $14.58 | |
CareFirst
| Professional | $8.02 | $8.02 | $8.02 | |
Cigna
| Professional | $7.34 | $7.34 | $7.34 | |
Kaiser Permanente
| Professional | $14.39 | $18.28 | $22.86 | |
United
| Professional | $6.47 | $7.18 | $10.80 | |
Wellpoint
| Professional | $6.38 | $6.38 | $12.23 |