| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.36 | $19.36 | $19.36 | |
Aetna
| Professional | $19.36 | $19.36 | $19.36 | |
CareFirst
| Professional | $22.78 | $22.78 | $22.78 | |
Cigna
| Facility | $21.40 | $21.40 | $21.40 | |
United
| Professional | $22.55 | $22.78 | $29.65 |