| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7.91 | $7.91 | $7.91 | |
Aetna
| Professional | $7.63 | $7.91 | $10.11 | |
CareFirst
| Professional | $8.14 | $8.14 | $8.14 | |
Kaiser Permanente
| Professional | $7.82 | $8.80 | $8.80 | |
United
| Facility | $0.12 | $4.62 | $4.69 | |
United
| Professional | $3.91 | $9.77 | $10.02 | |
Wellpoint
| Professional | $7.91 | $15.52 | $15.52 |