| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2.63 | $2.63 | $2.63 | |
Aetna
| Professional | $2.29 | $2.63 | $2.63 | |
CareFirst
| Professional | $6.45 | $6.45 | $6.45 | |
Cigna
| Professional | $0.75 | $0.75 | $0.75 | |
Kaiser Permanente
| Professional | $3.30 | $7.13 | $7.13 | |
United
| Professional | $1.59 | $2.20 | $3.20 |