| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.65 | $1.65 | $1.65 | |
Aetna
| Professional | $1.65 | $1.65 | $1.65 | |
CareFirst
| Professional | $2.08 | $2.08 | $2.08 | |
Cigna
| Facility | $2.08 | $2.08 | $2.08 | |
Kaiser Permanente
| Professional | $3.17 | $3.17 | $3.17 | |
United
| Professional | $2.18 | $2.40 | $3.89 |