| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11.32 | $11.32 | $11.32 | |
Aetna
| Professional | $12.88 | $16.23 | $56.00 | |
CareFirst
| Professional | $13.27 | $13.27 | $13.27 | |
Cigna
| Professional | $9.51 | $9.51 | $9.51 | |
Kaiser Permanente
| Professional | $23.32 | $30.08 | $37.29 | |
United
| Professional | $10.21 | $11.63 | $17.32 | |
Wellpoint
| Professional | $17.26 | $17.26 | $17.26 |