| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $141.25 | $319.82 | $319.82 | |
Aetna
| Professional | $141.25 | $141.25 | $141.25 | |
CareFirst
| Professional | $135.12 | $135.12 | $135.12 | |
Cigna
| Facility | $148.50 | $148.50 | $148.50 | |
United
| Professional | $157.37 | $184.15 | $206.91 |