| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4.63 | $4.63 | $4.63 | |
Aetna
| Professional | $4.63 | $4.63 | $4.63 | |
CareFirst
| Professional | $3.91 | $3.91 | $4.70 | |
Cigna
| Professional | $3.51 | $3.51 | $3.51 | |
Kaiser Permanente
| Professional | $13.64 | $13.64 | $13.64 | |
United
| Professional | $2.29 | $3.43 | $6.02 |