| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5.57 | $5.57 | $5.57 | |
Aetna
| Professional | $5.34 | $5.57 | $5.57 | |
CareFirst
| Professional | $4.61 | $4.61 | $4.61 | |
Cigna
| Professional | $4.22 | $4.22 | $4.22 | |
Kaiser Permanente
| Professional | $7.83 | $16.36 | $16.36 | |
United
| Professional | $2.74 | $4.12 | $7.22 |