| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $217.11 | $435.11 | $472.16 | |
Aetna
| Professional | $14.82 | $14.82 | $20.00 | |
CareFirst
| Professional | $56.00 | $56.00 | $56.00 | |
Cigna
| Professional | $4.38 | $4.38 | $4.38 | |
United
| Professional | $5.00 | $6.88 | $10.95 | |
Wellpoint
| Professional | $7.45 | $7.45 | $7.45 |