| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3.52 | $3.52 | $3.52 | |
Aetna
| Professional | $3.52 | $3.52 | $3.52 | |
CareFirst
| Professional | $3.52 | $3.52 | $3.56 | |
Cigna
| Professional | $2.66 | $2.66 | $2.66 | |
Kaiser Permanente
| Professional | $10.35 | $10.35 | $10.35 | |
United
| Professional | $1.73 | $2.60 | $3.68 |