| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $140.00 | $140.00 | $140.00 | |
Aetna
| Professional | $140.00 | $140.00 | $140.00 | |
CareFirst
| Professional | $223.33 | $223.33 | $223.33 | |
Cigna
| Professional | $163.00 | $163.00 | $163.00 | |
United
| Professional | $99.26 | $127.98 | $223.70 |