| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $81.28 | $81.28 | $128.82 | |
Aetna
| Professional | $63.10 | $77.62 | $93.33 | |
CareFirst
| Professional | $50.12 | $56.23 | $74.13 | |
Cigna
| Professional | $52.48 | $52.48 | $63.10 | |
United
| Facility | $40.74 | $40.74 | $40.74 | |
United
| Professional | $38.90 | $52.48 | $117.49 |