| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4.07 | $4.07 | $4.07 | |
Aetna
| Professional | $3.90 | $4.07 | $4.07 | |
CareFirst
| Professional | $3.35 | $3.35 | $3.35 | |
Cigna
| Professional | $3.07 | $3.07 | $3.07 | |
Kaiser Permanente
| Professional | $5.72 | $11.95 | $11.95 | |
United
| Professional | $2.00 | $3.00 | $5.28 |