| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7.50 | $7.50 | $7.50 | |
Aetna
| Professional | $7.50 | $7.50 | $7.50 | |
CareFirst
| Professional | $3.90 | $3.90 | $3.90 | |
Cigna
| Professional | $4.37 | $4.37 | $4.37 | |
Kaiser Permanente
| Professional | $11.00 | $11.00 | $11.00 |