| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5.20 | $5.20 | $5.20 | |
Aetna
| Professional | $5.20 | $5.20 | $5.20 | |
CareFirst
| Professional | $5.20 | $5.20 | $5.26 | |
Cigna
| Professional | $3.93 | $3.93 | $3.93 | |
Kaiser Permanente
| Professional | $15.29 | $15.29 | $15.29 | |
United
| Professional | $2.56 | $3.84 | $5.44 |