| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.05 | $0.05 | $0.05 | |
Aetna
| Professional | $0.05 | $0.05 | $0.06 | |
CareFirst
| Professional | $0.12 | $0.12 | $0.12 | |
Kaiser Permanente
| Professional | $11.00 | $18.00 | $18.00 | |
United
| Professional | $0.02 | $0.06 | $0.06 | |
Wellpoint
| Professional | $0.06 | $0.10 | $0.10 |