| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3.51 | $3.51 | $3.51 | |
Aetna
| Professional | $3.51 | $3.51 | $3.51 | |
CareFirst
| Professional | $14.03 | $14.03 | $14.03 | |
Cigna
| Facility | $3.44 | $3.44 | $3.44 | |
United
| Professional | $3.76 | $4.13 | $6.69 |