| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17.44 | $17.44 | $17.44 | |
Aetna
| Professional | $17.62 | $17.62 | $22.32 | |
CareFirst
| Professional | $17.44 | $17.44 | $17.62 | |
Cigna
| Professional | $17.62 | $17.62 | $22.44 | |
Kaiser Permanente
| Professional | $17.62 | $17.62 | $27.39 | |
United
| Professional | $16.98 | $17.62 | $18.68 | |
Wellpoint
| Professional | $17.62 | $17.62 | $17.62 |