| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3.96 | $3.96 | $3.96 | |
Aetna
| Professional | $3.96 | $3.96 | $3.96 | |
CareFirst
| Professional | $3.95 | $3.95 | $4.01 | |
Cigna
| Professional | $2.40 | $2.40 | $3.20 | |
Kaiser Permanente
| Professional | $11.65 | $11.65 | $11.65 | |
United
| Professional | $1.95 | $2.92 | $4.13 |