| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5.14 | $5.14 | $5.14 | |
Aetna
| Professional | $5.14 | $5.14 | $7.75 | |
CareFirst
| Professional | $4.32 | $4.32 | $4.32 | |
Cigna
| Professional | $3.11 | $3.11 | $3.11 | |
Kaiser Permanente
| Professional | $7.23 | $15.10 | $15.10 | |
United
| Professional | $2.52 | $3.80 | $6.67 |