| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2.34 | $2.34 | $2.34 | |
Aetna
| Professional | $2.04 | $2.34 | $2.34 | |
CareFirst
| Professional | $50.00 | $50.00 | $50.00 | |
Cigna
| Professional | $34.00 | $34.00 | $34.00 | |
Kaiser Permanente
| Professional | $2.93 | $6.34 | $6.34 | |
United
| Professional | $1.41 | $2.12 | $2.84 |