| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5.91 | $5.91 | $5.91 | |
Aetna
| Professional | $5.91 | $5.91 | $5.91 | |
CareFirst
| Professional | $5.93 | $5.93 | $5.99 | |
Cigna
| Professional | $4.47 | $4.47 | $4.47 | |
Kaiser Permanente
| Professional | $17.38 | $17.38 | $17.38 | |
United
| Professional | $2.91 | $4.37 | $6.19 |