| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17.51 | $17.51 | $17.51 | |
Aetna
| Professional | $18.39 | $18.44 | $23.46 | |
CareFirst
| Professional | $17.51 | $17.51 | $18.44 | |
Cigna
| Professional | $18.44 | $18.44 | $23.48 | |
Kaiser Permanente
| Professional | $18.44 | $18.44 | $24.08 | |
United
| Professional | $18.44 | $18.44 | $22.12 | |
Wellpoint
| Professional | $19.67 | $19.67 | $19.67 |