| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9.55 | $9.55 | $9.55 | |
Aetna
| Professional | $9.55 | $13.30 | $25.00 | |
CareFirst
| Professional | $11.18 | $11.18 | $11.18 | |
Cigna
| Professional | $8.02 | $8.02 | $8.02 | |
Kaiser Permanente
| Professional | $19.68 | $25.39 | $31.50 | |
United
| Professional | $8.61 | $9.82 | $14.20 | |
Wellpoint
| Professional | $10.02 | $10.02 | $10.02 |