| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5.44 | $5.44 | $5.44 | |
Aetna
| Professional | $5.44 | $5.44 | $5.44 | |
CareFirst
| Professional | $5.45 | $5.45 | $5.50 | |
Cigna
| Professional | $4.12 | $4.12 | $4.12 | |
Kaiser Permanente
| Professional | $15.98 | $15.98 | $15.98 | |
United
| Professional | $2.68 | $4.01 | $5.70 |