| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.36 | $28.36 | $28.36 | |
Aetna
| Professional | $28.36 | $28.36 | $28.36 | |
CareFirst
| Professional | $15.69 | $15.69 | $15.69 | |
Cigna
| Professional | $10.71 | $10.71 | $10.71 | |
United
| Professional | $8.83 | $13.25 | $19.28 |