| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.21 | $18.21 | $18.21 | |
Aetna
| Professional | $18.30 | $18.30 | $219.20 | |
CareFirst
| Professional | $18.21 | $18.21 | $18.30 | |
Cigna
| Professional | $18.30 | $18.30 | $23.30 | |
Kaiser Permanente
| Professional | $18.30 | $18.30 | $22.15 | |
United
| Professional | $18.30 | $18.30 | $19.39 | |
Wellpoint
| Professional | $18.00 | $18.00 | $18.00 |