| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5.86 | $5.86 | $5.86 | |
Aetna
| Professional | $5.86 | $5.86 | $5.86 | |
CareFirst
| Professional | $5.88 | $5.88 | $5.93 | |
Cigna
| Professional | $4.44 | $4.44 | $4.44 | |
Kaiser Permanente
| Professional | $17.22 | $17.22 | $17.22 | |
United
| Professional | $2.89 | $4.33 | $6.35 |