| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4.38 | $4.38 | $4.38 | |
Aetna
| Professional | $4.38 | $4.38 | $4.38 | |
CareFirst
| Professional | $20.93 | $20.93 | $20.93 | |
Cigna
| Professional | $13.56 | $13.56 | $13.56 | |
Kaiser Permanente
| Professional | $25.45 | $53.18 | $53.18 | |
United
| Professional | $9.38 | $14.08 | $23.47 |