| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3.06 | $3.06 | $3.06 | |
Aetna
| Professional | $2.88 | $3.06 | $3.06 | |
CareFirst
| Professional | $1.46 | $1.46 | $1.46 | |
Cigna
| Facility | $3.06 | $3.06 | $3.06 | |
Cigna
| Professional | $1.91 | $3.06 | $3.06 | |
Kaiser Permanente
| Professional | $44.34 | $53.15 | $91.25 | |
United
| Professional | $3.00 | $3.00 | $4.86 |