| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7.08 | $7.08 | $7.08 | |
Aetna
| Professional | $7.08 | $7.08 | $7.08 | |
CareFirst
| Professional | $3.89 | $3.89 | $3.89 | |
Cigna
| Professional | $0.42 | $4.37 | $4.37 | |
Kaiser Permanente
| Professional | $10.96 | $10.96 | $10.96 |