| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2.65 | $2.65 | $2.65 | |
Aetna
| Professional | $2.65 | $2.65 | $3.39 | |
CareFirst
| Professional | $2.65 | $2.65 | $2.65 | |
Cigna
| Professional | $2.65 | $2.65 | $3.37 | |
Kaiser Permanente
| Professional | $2.65 | $2.65 | $3.26 | |
United
| Professional | $2.65 | $2.65 | $2.81 | |
Wellpoint
| Professional | $2.45 | $2.45 | $2.45 |