| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $79.43 | $79.43 | $81.28 | |
CareFirst
| Professional | $114.82 | $114.82 | $114.82 | |
Cigna
| Facility | $89.13 | $89.13 | $89.13 | |
Cigna
| Professional | $89.13 | $89.13 | $91.20 | |
United
| Professional | $5.01 | $7.59 | $14.45 |