| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.03 | $15.03 | $15.03 | |
Aetna
| Professional | $15.04 | $15.04 | $20.14 | |
CareFirst
| Professional | $1.51 | $1.51 | $15.04 | |
Cigna
| Professional | $15.04 | $15.04 | $19.16 | |
Kaiser Permanente
| Professional | $15.04 | $15.04 | $16.20 | |
United
| Professional | $15.04 | $15.04 | $18.00 | |
Wellpoint
| Professional | $15.03 | $15.03 | $15.03 |