| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $128.82 | $131.83 | $239.88 | |
Aetna
| Professional | $36.31 | $36.31 | $81.28 | |
CareFirst
| Professional | $70.79 | $70.79 | $109.65 | |
Cigna
| Professional | $21.88 | $21.88 | $21.88 | |
United
| Professional | $79.43 | $79.43 | $102.33 |