| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9.96 | $9.96 | $9.96 | |
Aetna
| Professional | $9.96 | $13.86 | $36.00 | |
CareFirst
| Professional | $11.69 | $11.69 | $11.69 | |
Cigna
| Professional | $8.36 | $8.36 | $8.36 | |
Kaiser Permanente
| Professional | $20.51 | $26.46 | $32.84 | |
United
| Professional | $8.99 | $10.24 | $14.83 | |
Wellpoint
| Professional | $21.71 | $21.71 | $21.71 |