| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6.31 | $6.31 | $6.31 | |
Aetna
| Professional | $6.31 | $6.31 | $6.31 | |
CareFirst
| Professional | $4.76 | $4.76 | $4.76 | |
Cigna
| Facility | $4.76 | $4.76 | $4.76 | |
Kaiser Permanente
| Professional | $11.10 | $11.10 | $11.10 | |
United
| Professional | $4.33 | $4.76 | $7.71 |