| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $31.29 | $31.29 | $31.29 | |
Aetna
| Professional | $2.06 | $2.87 | $4.30 | |
CareFirst
| Professional | $2.36 | $2.36 | $2.36 | |
Cigna
| Professional | $2.17 | $2.17 | $2.17 | |
Kaiser Permanente
| Professional | $4.25 | $5.40 | $6.75 | |
United
| Professional | $1.91 | $2.12 | $3.18 | |
Wellpoint
| Professional | $1.88 | $1.88 | $3.61 |