| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.61 | $0.61 | $112.47 | |
Aetna
| Professional | $0.61 | $0.61 | $0.82 | |
CareFirst
| Professional | $0.60 | $0.60 | $0.61 | |
Cigna
| Professional | $0.61 | $0.61 | $0.78 | |
Kaiser Permanente
| Professional | $0.61 | $0.61 | $3.45 | |
United
| Professional | $0.61 | $0.65 | $0.74 | |
Wellpoint
| Professional | $0.81 | $0.81 | $0.81 |