| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5.61 | $5.61 | $5.61 | |
Aetna
| Professional | $3.62 | $3.63 | $4.17 | |
CareFirst
| Professional | $3.64 | $3.64 | $5.62 | |
Cigna
| Professional | $3.63 | $3.63 | $4.63 | |
Kaiser Permanente
| Professional | $3.63 | $3.63 | $6.82 | |
United
| Professional | $3.63 | $3.63 | $4.34 | |
Wellpoint
| Professional | $8.90 | $8.90 | $8.90 |