| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4.26 | $4.26 | $4.26 | |
Aetna
| Professional | $4.26 | $4.26 | $4.26 | |
CareFirst
| Professional | $4.48 | $4.49 | $5.47 | |
Cigna
| Professional | $3.78 | $3.78 | $3.78 | |
Kaiser Permanente
| Professional | $5.21 | $5.21 | $15.90 | |
United
| Professional | $2.66 | $4.00 | $5.66 |