| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4.45 | $4.45 | $4.45 | |
Aetna
| Professional | $4.45 | $4.45 | $4.45 | |
CareFirst
| Professional | $3.75 | $3.75 | $4.50 | |
Cigna
| Professional | $3.37 | $3.37 | $3.37 | |
Kaiser Permanente
| Professional | $13.07 | $13.07 | $13.07 | |
United
| Professional | $2.19 | $3.29 | $5.44 |