| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.35 | $16.35 | $16.35 | |
Aetna
| Professional | $16.35 | $22.76 | $34.14 | |
CareFirst
| Professional | $19.14 | $19.14 | $19.14 | |
Cigna
| Professional | $13.74 | $13.74 | $13.74 | |
Kaiser Permanente
| Professional | $33.68 | $43.45 | $53.90 | |
United
| Professional | $14.28 | $16.80 | $25.01 | |
Wellpoint
| Professional | $16.14 | $16.14 | $16.14 |