| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2.24 | $2.24 | $2.24 | |
Aetna
| Professional | $2.24 | $2.24 | $2.24 | |
CareFirst
| Professional | $2.24 | $2.24 | $2.24 | |
Cigna
| Facility | $2.24 | $2.24 | $2.24 | |
United
| Professional | $2.04 | $2.24 | $3.63 |