| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.37 | $21.37 | $4,056.31 | |
CareFirst
| Professional | $1,712.00 | $1,712.00 | $1,712.00 | |
Cigna
| Facility | $507.00 | $507.00 | $641.21 | |
United
| Facility | $36.00 | $36.00 | $41.00 |