| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13.77 | $13.77 | $13.77 | |
Aetna
| Professional | $13.45 | $13.77 | $17.63 | |
CareFirst
| Professional | $13.77 | $13.77 | $13.77 | |
Cigna
| Professional | $13.25 | $13.25 | $15.63 | |
United
| Professional | $13.25 | $13.25 | $14.05 |