| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $41.69 | $41.69 | $316.23 | |
Aetna
| Professional | $41.69 | $41.69 | $41.69 | |
CareFirst
| Professional | $85.11 | $151.36 | $323.59 | |
Cigna
| Facility | $87.10 | $87.10 | $194.98 | |
Cigna
| Professional | $58.88 | $58.88 | $74.13 | |
United
| Facility | $61.66 | $61.66 | $61.66 | |
United
| Professional | $17.78 | $25.12 | $52.48 |