| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5.89 | $5.89 | $5.89 | |
Aetna
| Professional | $5.89 | $5.89 | $5.89 | |
CareFirst
| Professional | $6.00 | $6.00 | $7.55 | |
Cigna
| Professional | $5.21 | $5.21 | $5.21 | |
Kaiser Permanente
| Professional | $7.18 | $7.18 | $21.93 | |
United
| Professional | $3.68 | $5.51 | $7.81 |