| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.50 | $0.50 | $0.50 | |
Aetna
| Professional | $0.50 | $626.94 | $4,215.64 | |
CareFirst
| Professional | $1.37 | $1.37 | $1.37 | |
Cigna
| Professional | $0.40 | $1.21 | $1.21 | |
Kaiser Permanente
| Professional | $7.00 | $7.00 | $7.00 |