| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4.78 | $4.78 | $4.78 | |
Aetna
| Professional | $4.78 | $6.66 | $10.64 | |
CareFirst
| Professional | $5.59 | $5.59 | $5.59 | |
Cigna
| Professional | $4.01 | $4.01 | $4.01 | |
Kaiser Permanente
| Professional | $9.85 | $12.71 | $15.76 | |
United
| Professional | $4.26 | $4.91 | $7.31 | |
Wellpoint
| Professional | $5.01 | $5.01 | $5.01 |