| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $66.56 | $88.19 | $155.08 | |
Aetna
| Professional | $66.56 | $66.56 | $66.56 | |
CareFirst
| Professional | $74.79 | $74.79 | $74.79 | |
Cigna
| Facility | $70.36 | $70.36 | $70.36 | |
United
| Professional | $63.06 | $73.79 | $91.90 |