| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $353.00 | $4,573.00 | $4,573.00 | |
CareFirst
| Professional | $2,141.00 | $2,141.00 | $2,141.00 | |
Cigna
| Facility | $582.00 | $599.00 | $2,530.00 | |
United
| Facility | $71.00 | $100.00 | $598.00 |