| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8.05 | $8.05 | $8.05 | |
Aetna
| Professional | $8.05 | $8.05 | $8.05 | |
CareFirst
| Professional | $3.79 | $3.79 | $3.79 | |
Cigna
| Facility | $3.79 | $3.79 | $3.79 | |
Kaiser Permanente
| Professional | $18.25 | $18.25 | $18.25 | |
United
| Professional | $3.45 | $3.79 | $6.14 |