| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.10 | $0.10 | $0.10 | |
Aetna
| Professional | $0.10 | $0.10 | $0.15 | |
CareFirst
| Professional | $0.24 | $0.24 | $0.24 | |
Kaiser Permanente
| Professional | $5.00 | $9.00 | $9.00 | |
United
| Professional | $0.08 | $0.13 | $0.14 | |
Wellpoint
| Professional | $0.12 | $0.12 | $0.13 |