| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $242.71 | $242.71 | $242.71 | |
Aetna
| Professional | $242.71 | $242.71 | $292.31 | |
CareFirst
| Professional | $127.68 | $127.68 | $169.81 | |
Cigna
| Professional | $116.04 | $116.04 | $116.04 | |
United
| Professional | $57.70 | $57.70 | $57.70 |