| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5.00 | $5.00 | $5.00 | |
Aetna
| Professional | $5.00 | $6.96 | $11.37 | |
CareFirst
| Professional | $5.85 | $5.85 | $5.85 | |
Cigna
| Professional | $4.20 | $4.20 | $4.20 | |
Kaiser Permanente
| Professional | $10.29 | $13.27 | $16.48 | |
United
| Professional | $4.51 | $5.14 | $8.02 | |
Wellpoint
| Professional | $10.85 | $10.85 | $10.85 |