| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.34 | $12.34 | $12.34 | |
Aetna
| Professional | $12.34 | $12.34 | $12.34 | |
CareFirst
| Professional | $14.52 | $14.52 | $14.52 | |
Cigna
| Facility | $14.52 | $14.52 | $14.52 | |
United
| Professional | $14.37 | $14.52 | $17.19 |