| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17.78 | $107.15 | $177.83 | |
Aetna
| Professional | $52.48 | $69.18 | $114.82 | |
CareFirst
| Professional | $120.23 | $120.23 | $120.23 | |
Cigna
| Facility | $75.86 | $75.86 | $75.86 | |
United
| Facility | $74.13 | $74.13 | $74.13 | |
United
| Professional | $74.13 | $81.28 | $100.00 |