| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.69 | $1.69 | $1.69 | |
Aetna
| Professional | $1.69 | $1.69 | $1.69 | |
CareFirst
| Professional | $3.00 | $3.00 | $3.00 | |
Cigna
| Professional | $1.89 | $1.89 | $1.89 | |
Kaiser Permanente
| Professional | $7.00 | $7.00 | $7.00 |