| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $109.65 | $109.65 | $109.65 | |
Aetna
| Professional | $89.13 | $95.50 | $489.78 | |
CareFirst
| Professional | $125.89 | $223.87 | $467.74 | |
Cigna
| Facility | $81.28 | $87.10 | $104.71 | |
Cigna
| Professional | $104.71 | $104.71 | $131.83 | |
United
| Facility | $213.80 | $251.19 | $288.40 |