| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6.95 | $6.95 | $6.95 | |
Aetna
| Professional | $6.67 | $6.95 | $6.95 | |
CareFirst
| Professional | $5.73 | $5.73 | $5.73 | |
Cigna
| Professional | $5.25 | $5.25 | $5.25 | |
Kaiser Permanente
| Professional | $9.77 | $20.41 | $20.41 | |
United
| Professional | $3.42 | $5.13 | $9.01 |