| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4.54 | $4.54 | $4.54 | |
Aetna
| Professional | $4.54 | $4.54 | $4.54 | |
CareFirst
| Professional | $84.00 | $84.00 | $84.00 | |
Cigna
| Professional | $6.77 | $6.77 | $6.77 | |
United
| Professional | $4.40 | $7.25 | $10.89 |