| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.48 | $10.48 | $732.95 | |
Aetna
| Professional | $10.48 | $10.48 | $13.41 | |
CareFirst
| Professional | $4.78 | $4.78 | $4.78 | |
Cigna
| Professional | $10.48 | $10.48 | $10.48 | |
Kaiser Permanente
| Professional | $0.43 | $2.69 | $3.66 | |
United
| Professional | $10.27 | $10.27 | $16.64 | |
Wellpoint
| Professional | $0.63 | $0.63 | $0.63 |