| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.58 | $10.58 | $10.58 | |
Aetna
| Professional | $10.58 | $10.58 | $10.58 | |
CareFirst
| Professional | $55.24 | $55.24 | $55.24 | |
Cigna
| Facility | $81.48 | $88.10 | $100.68 | |
Cigna
| Professional | $19.00 | $19.00 | $23.75 |