| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2.62 | $2.62 | $2.62 | |
Aetna
| Professional | $2.62 | $2.62 | $2.62 | |
CareFirst
| Professional | $2.46 | $2.46 | $2.46 | |
Cigna
| Facility | $2.62 | $2.62 | $2.62 | |
Kaiser Permanente
| Professional | $6.34 | $6.34 | $6.34 | |
United
| Professional | $2.34 | $2.57 | $4.17 |