| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6.06 | $6.06 | $6.06 | |
Aetna
| Professional | $6.06 | $8.44 | $29.00 | |
CareFirst
| Professional | $7.10 | $7.10 | $7.10 | |
Cigna
| Professional | $5.09 | $5.09 | $5.09 | |
Kaiser Permanente
| Professional | $12.49 | $16.11 | $20.00 | |
United
| Professional | $5.30 | $6.23 | $9.74 | |
Wellpoint
| Professional | $6.40 | $6.40 | $6.40 |