| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13.91 | $13.91 | $13.91 | |
Aetna
| Professional | $13.91 | $13.91 | $13.91 | |
CareFirst
| Professional | $14.79 | $14.79 | $14.79 | |
Cigna
| Facility | $13.91 | $13.91 | $13.91 | |
United
| Professional | $12.41 | $13.64 | $22.11 |