| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4.05 | $4.05 | $4.05 | |
Aetna
| Professional | $4.05 | $4.05 | $4.05 | |
CareFirst
| Professional | $4.05 | $4.05 | $4.09 | |
Cigna
| Professional | $3.06 | $3.06 | $3.06 | |
Kaiser Permanente
| Professional | $11.89 | $11.89 | $11.89 | |
United
| Professional | $1.99 | $2.99 | $5.93 |