| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4.88 | $4.88 | $4.88 | |
Aetna
| Professional | $4.68 | $4.88 | $4.88 | |
CareFirst
| Professional | $4.12 | $4.12 | $4.12 | |
Cigna
| Professional | $2.95 | $2.95 | $2.95 | |
Kaiser Permanente
| Professional | $6.86 | $14.33 | $14.33 | |
United
| Professional | $2.40 | $3.60 | $6.33 |