| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.10 | $0.62 | $2.95 | |
Aetna
| Professional | $0.12 | $0.12 | $0.13 | |
CareFirst
| Professional | $0.13 | $0.13 | $0.77 | |
Cigna
| Facility | $85.00 | $85.00 | $85.00 | |
Cigna
| Professional | $0.13 | $0.13 | $0.13 | |
Kaiser Permanente
| Professional | $1.97 | $2.54 | $3.70 | |
United
| Facility | $0.10 | $0.10 | $0.10 | |
United
| Professional | $0.13 | $0.13 | $0.13 | |
Wellpoint
| Professional | $0.05 | $0.05 | $0.05 |