| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $80.61 | $80.61 | $337.08 | |
Aetna
| Professional | $3.50 | $80.61 | $80.61 | |
CareFirst
| Professional | $138.03 | $138.03 | $183.58 | |
Cigna
| Professional | $67.45 | $67.45 | $128.59 | |
United
| Professional | $93.09 | $93.09 | $93.09 |