| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.11 | $16.11 | $16.11 | |
Aetna
| Professional | $16.11 | $23.10 | $95.70 | |
CareFirst
| Professional | $18.88 | $18.88 | $18.88 | |
Cigna
| Professional | $13.54 | $13.54 | $13.54 | |
Kaiser Permanente
| Professional | $33.18 | $42.80 | $53.10 | |
United
| Professional | $14.53 | $16.55 | $24.64 | |
Wellpoint
| Professional | $21.15 | $21.15 | $21.15 |