| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $173.78 | $173.78 | $173.78 | |
Aetna
| Professional | $144.54 | $173.78 | $173.78 | |
CareFirst
| Professional | $123.03 | $123.03 | $158.49 | |
Cigna
| Professional | $147.91 | $147.91 | $177.83 | |
United
| Facility | $588.84 | $676.08 | $794.33 | |
United
| Professional | $53.70 | $53.70 | $53.70 |