| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5.67 | $5.67 | $5.67 | |
Aetna
| Professional | $5.67 | $5.67 | $5.67 | |
CareFirst
| Professional | $5.68 | $5.68 | $5.74 | |
Cigna
| Professional | $4.28 | $4.28 | $4.28 | |
Kaiser Permanente
| Professional | $16.67 | $16.67 | $16.67 | |
United
| Professional | $2.79 | $3.90 | $8.31 |