| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3.06 | $3.06 | $3.06 | |
Aetna
| Professional | $2.88 | $3.06 | $3.92 | |
CareFirst
| Professional | $1.46 | $1.46 | $1.46 | |
Cigna
| Facility | $85.00 | $85.00 | $85.00 | |
Cigna
| Professional | $3.06 | $3.06 | $3.06 | |
Kaiser Permanente
| Professional | $32.08 | $53.15 | $62.00 | |
United
| Professional | $3.00 | $3.00 | $3.15 | |
Wellpoint
| Professional | $1.46 | $1.46 | $1.46 |