| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $41.69 | $41.69 | $257.04 | |
Aetna
| Professional | $41.69 | $41.69 | $50.12 | |
CareFirst
| Professional | $87.10 | $151.36 | $323.59 | |
Cigna
| Facility | $70.79 | $70.79 | $162.18 | |
Cigna
| Professional | $48.98 | $48.98 | $60.26 | |
United
| Facility | $51.29 | $51.29 | $51.29 | |
United
| Professional | $17.78 | $25.12 | $52.48 |