| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.29 | $18.29 | $18.29 | |
Aetna
| Professional | $18.16 | $18.16 | $23.41 | |
CareFirst
| Professional | $18.16 | $18.16 | $18.30 | |
Cigna
| Professional | $18.16 | $18.16 | $23.12 | |
Kaiser Permanente
| Professional | $18.16 | $18.16 | $20.45 | |
United
| Professional | $18.16 | $18.16 | $19.25 | |
Wellpoint
| Professional | $17.17 | $17.17 | $17.17 |