| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $67.28 | $67.28 | $275.39 | |
Aetna
| Professional | $275.39 | $275.39 | $275.39 | |
CareFirst
| Professional | $275.39 | $275.39 | $275.39 | |
Cigna
| Facility | $302.39 | $302.39 | $302.39 | |
United
| Professional | $244.87 | $279.49 | $388.80 |