| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2.00 | $2.00 | $2.00 | |
Aetna
| Professional | $1.00 | $2.00 | $2.00 | |
CareFirst
| Professional | $6.46 | $6.46 | $6.46 | |
Cigna
| Professional | $0.42 | $0.76 | $0.76 | |
Kaiser Permanente
| Professional | $3.39 | $3.89 | $7.08 | |
United
| Facility | $2.40 | $2.40 | $2.40 | |
United
| Professional | $1.58 | $2.40 | $3.98 |