| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6.38 | $6.38 | $6.38 | |
Aetna
| Professional | $6.38 | $6.38 | $6.38 | |
CareFirst
| Professional | $175.97 | $175.97 | $175.97 | |
Cigna
| Facility | $6.38 | $6.38 | $6.38 | |
United
| Professional | $6.83 | $7.51 | $12.17 |