| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17.37 | $17.37 | $17.37 | |
Aetna
| Professional | $19.52 | $19.52 | $22.23 | |
CareFirst
| Professional | $17.36 | $17.36 | $19.53 | |
Cigna
| Professional | $19.52 | $19.52 | $24.86 | |
Kaiser Permanente
| Professional | $19.52 | $19.52 | $21.89 | |
United
| Professional | $19.52 | $19.52 | $20.69 | |
Wellpoint
| Professional | $17.37 | $17.37 | $17.37 |