| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17.71 | $17.71 | $17.71 | |
Aetna
| Professional | $20.48 | $45.84 | $87.00 | |
CareFirst
| Professional | $20.76 | $20.76 | $20.76 | |
Cigna
| Professional | $14.88 | $14.88 | $14.88 | |
Kaiser Permanente
| Professional | $36.47 | $47.05 | $58.38 | |
United
| Professional | $15.97 | $18.20 | $27.08 | |
Wellpoint
| Professional | $29.23 | $29.23 | $29.23 |