| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6.64 | $6.64 | $6.64 | |
Aetna
| Professional | $6.64 | $6.64 | $6.64 | |
CareFirst
| Professional | $8.36 | $8.36 | $8.36 | |
Cigna
| Facility | $4.82 | $4.82 | $4.82 | |
Cigna
| Professional | $4.82 | $4.82 | $4.82 | |
United
| Professional | $0.02 | $0.02 | $0.02 |