| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11.80 | $11.80 | $11.80 | |
Aetna
| Professional | $14.90 | $23.14 | $95.86 | |
CareFirst
| Professional | $13.84 | $13.84 | $13.84 | |
Cigna
| Professional | $9.92 | $9.92 | $9.92 | |
Kaiser Permanente
| Professional | $24.31 | $31.36 | $38.92 | |
United
| Professional | $10.65 | $12.13 | $18.96 | |
Wellpoint
| Professional | $22.54 | $22.54 | $22.54 |