| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5.40 | $5.40 | $5.40 | |
Aetna
| Professional | $5.40 | $5.40 | $5.40 | |
CareFirst
| Professional | $5.43 | $5.43 | $5.43 | |
Cigna
| Professional | $4.08 | $4.08 | $4.08 | |
Kaiser Permanente
| Professional | $15.88 | $15.88 | $15.88 | |
United
| Professional | $2.66 | $3.99 | $7.04 |