| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $143.10 | $143.10 | $143.10 | |
Aetna
| Professional | $127.98 | $143.10 | $158.02 | |
CareFirst
| Professional | $753.48 | $753.48 | $753.48 | |
Cigna
| Professional | $107.38 | $125.04 | $125.04 | |
United
| Professional | $9.82 | $14.64 | $141.81 |