| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4.09 | $8.00 | $71.34 | |
Aetna
| Professional | $12.06 | $12.06 | $13.81 | |
CareFirst
| Professional | $10.79 | $10.79 | $12.05 | |
Cigna
| Professional | $12.05 | $12.05 | $15.35 | |
Kaiser Permanente
| Professional | $12.06 | $12.06 | $20.23 | |
United
| Professional | $12.06 | $12.06 | $12.78 | |
Wellpoint
| Professional | $11.55 | $11.55 | $11.55 |