| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.95 | $1.95 | $1.95 | |
Aetna
| Professional | $1.95 | $1.95 | $1.95 | |
CareFirst
| Professional | $1.95 | $1.95 | $1.97 | |
Cigna
| Professional | $1.47 | $1.47 | $1.47 | |
Kaiser Permanente
| Professional | $5.71 | $5.71 | $5.71 | |
United
| Professional | $0.96 | $1.44 | $2.04 |