| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $190.67 | $265.02 | $372.72 | |
CareFirst
| Professional | $388.80 | $388.80 | $388.80 | |
Cigna
| Professional | $40.57 | $40.57 | $40.57 | |
United
| Professional | $25.54 | $29.54 | $210.87 | |
Wellpoint
| Professional | $294.91 | $294.91 | $412.34 |