| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5.91 | $24.51 | $579.44 | |
Aetna
| Professional | $24.50 | $24.50 | $29.70 | |
CareFirst
| Professional | $24.50 | $24.50 | $24.51 | |
Cigna
| Professional | $24.50 | $24.50 | $31.20 | |
Kaiser Permanente
| Professional | $19.55 | $24.50 | $24.50 | |
United
| Professional | $24.50 | $24.50 | $35.34 | |
Wellpoint
| Professional | $3.89 | $3.89 | $3.89 |