| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $57.14 | $57.14 | $66.09 | |
Aetna
| Professional | $3.61 | $5.57 | $7.85 | |
CareFirst
| Professional | $4.61 | $4.61 | $4.61 | |
Cigna
| Professional | $4.22 | $4.22 | $4.22 | |
Kaiser Permanente
| Professional | $8.24 | $10.63 | $13.11 | |
United
| Professional | $3.72 | $4.12 | $6.21 | |
Wellpoint
| Professional | $3.66 | $3.66 | $7.00 |