| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $71.33 | $353.40 | $476.22 | |
Aetna
| Professional | $71.33 | $71.33 | $71.33 | |
CareFirst
| Professional | $41.60 | $41.60 | $41.60 | |
Cigna
| Facility | $47.60 | $47.60 | $47.60 | |
United
| Professional | $42.47 | $46.67 | $75.64 |