| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.78 | $10.78 | $10.78 | |
Aetna
| Professional | $10.76 | $10.76 | $13.80 | |
CareFirst
| Professional | $10.76 | $10.76 | $10.78 | |
Cigna
| Professional | $10.76 | $10.76 | $13.70 | |
Kaiser Permanente
| Professional | $10.76 | $10.76 | $13.81 | |
United
| Professional | $10.76 | $10.76 | $11.41 | |
Wellpoint
| Professional | $10.47 | $10.47 | $10.47 |