| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $164.60 | $241.41 | $383.51 | |
Aetna
| Professional | $164.60 | $164.60 | $164.60 | |
CareFirst
| Professional | $187.15 | $187.15 | $187.15 | |
Cigna
| Facility | $175.41 | $175.41 | $175.41 | |
United
| Professional | $155.13 | $177.07 | $224.51 |