| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $250.25 | $250.25 | $250.25 | |
CareFirst
| Professional | $1,712.00 | $1,712.00 | $1,712.00 | |
Cigna
| Facility | $485.00 | $485.00 | $513.90 | |
United
| Facility | $89.00 | $89.00 | $89.00 |