| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11.46 | $11.46 | $11.46 | |
Aetna
| Professional | $11.46 | $15.96 | $23.94 | |
CareFirst
| Professional | $13.43 | $13.43 | $13.43 | |
Cigna
| Professional | $9.63 | $9.63 | $9.63 | |
Kaiser Permanente
| Professional | $23.61 | $30.46 | $37.82 | |
United
| Professional | $10.34 | $11.78 | $18.66 | |
Wellpoint
| Professional | $19.20 | $19.20 | $19.20 |