| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $120.36 | $601.55 | $2,407.19 | |
Aetna
| Professional | $120.36 | $120.36 | $120.36 | |
CareFirst
| Professional | $113.28 | $113.28 | $113.28 | |
Cigna
| Facility | $120.36 | $120.36 | $120.36 | |
United
| Professional | $107.38 | $118.00 | $191.25 |