| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4.00 | $4.00 | $4.00 | |
Aetna
| Professional | $4.00 | $4.00 | $4.00 | |
CareFirst
| Professional | $4.55 | $4.55 | $4.55 | |
Cigna
| Professional | $4.00 | $4.00 | $4.00 | |
United
| Professional | $5.79 | $6.36 | $6.36 |