| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5.45 | $5.45 | $5.45 | |
Aetna
| Professional | $4.69 | $4.69 | $6.60 | |
CareFirst
| Professional | $4.70 | $4.70 | $5.45 | |
Cigna
| Professional | $4.69 | $4.69 | $5.97 | |
Kaiser Permanente
| Professional | $4.69 | $4.69 | $19.48 | |
United
| Professional | $4.69 | $4.69 | $5.63 | |
Wellpoint
| Professional | $4.69 | $4.69 | $4.69 |