| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.48 | $12.48 | $12.48 | |
Aetna
| Professional | $13.85 | $19.22 | $63.00 | |
CareFirst
| Professional | $14.64 | $14.64 | $14.64 | |
Cigna
| Professional | $10.49 | $10.49 | $10.49 | |
Kaiser Permanente
| Professional | $25.72 | $33.18 | $41.17 | |
United
| Professional | $10.91 | $12.83 | $19.10 | |
Wellpoint
| Professional | $23.10 | $23.10 | $23.10 |