| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6.16 | $6.16 | $6.16 | |
Aetna
| Professional | $6.16 | $6.16 | $6.16 | |
CareFirst
| Professional | $6.16 | $6.16 | $6.23 | |
Cigna
| Professional | $4.65 | $4.65 | $4.65 | |
Kaiser Permanente
| Professional | $18.09 | $18.09 | $18.09 | |
United
| Professional | $3.03 | $4.54 | $6.43 |