| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4.23 | $11.96 | $16.11 | |
Aetna
| Professional | $4.23 | $4.23 | $4.23 | |
CareFirst
| Professional | $4.23 | $6.27 | $10.60 | |
Cigna
| Facility | $3.99 | $3.99 | $4.23 | |
Kaiser Permanente
| Professional | $3.60 | $3.60 | $4.23 | |
United
| Professional | $3.85 | $4.23 | $6.86 |