| 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 | $50.12 | $50.12 | $50.12 | |
Cigna
| Professional | $33.88 | $33.88 | $38.90 | |
Kaiser Permanente
| Professional | $3.02 | $3.47 | $6.31 | |
United
| Facility | $2.14 | $2.14 | $2.14 | |
United
| Professional | $1.41 | $2.14 | $3.55 |