| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4.80 | $4.80 | $4.80 | |
Aetna
| Professional | $4.80 | $4.80 | $4.80 | |
CareFirst
| Professional | $4.82 | $4.82 | $4.82 | |
Cigna
| Professional | $3.64 | $3.64 | $3.64 | |
Kaiser Permanente
| Professional | $14.13 | $14.13 | $14.13 | |
United
| Professional | $2.37 | $3.55 | $6.27 |