| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $110.20 | $127.30 | $127.30 | |
Aetna
| Professional | $110.20 | $110.20 | $110.20 | |
CareFirst
| Professional | $42.30 | $191.71 | $419.56 | |
Cigna
| Facility | $81.48 | $88.10 | $100.68 | |
Cigna
| Professional | $105.73 | $105.73 | $132.16 | |
United
| Facility | $21.85 | $21.85 | $21.85 |