| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.15 | $0.15 | $0.15 | |
Aetna
| Professional | $0.15 | $0.15 | $0.15 | |
CareFirst
| Professional | $0.21 | $0.21 | $0.21 | |
Cigna
| Professional | $0.28 | $0.28 | $0.28 | |
Kaiser Permanente
| Professional | $2.00 | $2.00 | $2.00 |