| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $37.00 | $37.00 | $37.00 | |
Aetna
| Professional | $37.00 | $37.00 | $37.00 | |
CareFirst
| Professional | $30.09 | $30.09 | $30.09 | |
Cigna
| Facility | $40.71 | $40.71 | $40.71 | |
United
| Professional | $36.31 | $39.90 | $64.67 |