| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.86 | $1.86 | $1.86 | |
Aetna
| Professional | $1.00 | $1.00 | $2.00 | |
CareFirst
| Professional | $1.82 | $1.82 | $1.82 | |
United
| Professional | $1.86 | $1.86 | $2.19 | |
Wellpoint
| Professional | $1.74 | $1.74 | $1.74 |