| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4.98 | $4.98 | $4.98 | |
Aetna
| Professional | $4.98 | $4.98 | $4.98 | |
CareFirst
| Professional | $4.97 | $4.97 | $4.97 | |
Cigna
| Facility | $4.68 | $4.68 | $4.68 | |
United
| Professional | $5.33 | $5.86 | $9.50 |