| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.39 | $1.39 | $1.39 | |
Aetna
| Professional | $1.39 | $1.39 | $1.39 | |
CareFirst
| Professional | $1.39 | $1.39 | $1.39 | |
Cigna
| Facility | $1.39 | $1.39 | $1.39 | |
United
| Professional | $1.49 | $1.64 | $2.66 |