| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $54.55 | $54.55 | $54.55 | |
Aetna
| Professional | $54.55 | $54.55 | $54.55 | |
CareFirst
| Professional | $59.81 | $59.81 | $59.81 | |
Cigna
| Facility | $54.55 | $54.55 | $54.55 | |
United
| Professional | $51.34 | $56.42 | $91.44 |