| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.03 | $1.66 | $96.60 | |
Aetna
| Professional | $0.02 | $21.91 | $136.04 | |
CareFirst
| Professional | $0.02 | $0.02 | $0.03 | |
Cigna
| Professional | $0.02 | $0.04 | $0.05 | |
Kaiser Permanente
| Professional | $4.12 | $4.63 | $4.63 | |
United
| Professional | $4.38 | $4.38 | $4.38 |