| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9.91 | $9.91 | $9.91 | |
Aetna
| Professional | $9.77 | $9.77 | $12.68 | |
CareFirst
| Professional | $9.77 | $9.77 | $9.91 | |
Cigna
| Professional | $9.77 | $9.77 | $12.45 | |
Kaiser Permanente
| Professional | $9.77 | $9.77 | $12.84 | |
United
| Professional | $9.77 | $9.77 | $15.85 | |
Wellpoint
| Professional | $9.52 | $9.52 | $9.52 |