| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4.53 | $4.53 | $4.53 | |
Aetna
| Professional | $4.53 | $4.53 | $4.53 | |
CareFirst
| Professional | $3.50 | $3.50 | $3.50 | |
Cigna
| Facility | $3.49 | $3.49 | $3.49 | |
Kaiser Permanente
| Professional | $8.72 | $8.72 | $8.72 | |
United
| Professional | $4.78 | $5.25 | $8.51 |