| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.62 | $18.62 | $18.62 | |
Aetna
| Professional | $2.00 | $3.02 | $3.98 | |
CareFirst
| Professional | $5.25 | $5.25 | $5.25 | |
Cigna
| Professional | $1.62 | $1.62 | $1.62 | |
Kaiser Permanente
| Professional | $2.69 | $4.07 | $7.41 | |
United
| Facility | $3.80 | $3.80 | $4.57 | |
United
| Professional | $2.34 | $4.57 | $8.51 | |
Wellpoint
| Professional | $3.98 | $3.98 | $3.98 |