| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5.66 | $5.66 | $5.66 | |
Aetna
| Professional | $5.66 | $5.66 | $5.66 | |
CareFirst
| Professional | $5.67 | $5.67 | $5.73 | |
Cigna
| Professional | $4.28 | $4.28 | $4.28 | |
Kaiser Permanente
| Professional | $16.63 | $16.63 | $16.63 | |
United
| Professional | $2.78 | $4.18 | $8.28 |