| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.82 | $14.82 | $14.82 | |
Aetna
| Professional | $14.82 | $14.82 | $14.82 | |
CareFirst
| Professional | $56.00 | $56.00 | $56.00 | |
Cigna
| Professional | $4.38 | $4.38 | $4.38 | |
United
| Professional | $4.11 | $6.88 | $9.26 |