| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4.84 | $4.84 | $4.84 | |
Aetna
| Professional | $4.84 | $4.84 | $4.84 | |
CareFirst
| Professional | $5.25 | $5.25 | $5.25 | |
Cigna
| Facility | $5.24 | $5.24 | $5.24 | |
United
| Professional | $4.76 | $5.24 | $8.49 |