| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $794.33 | $794.33 | $794.33 | |
Aetna
| Professional | $794.33 | $794.33 | $794.33 | |
CareFirst
| Professional | $1,659.59 | $2,187.76 | $4,786.30 | |
Cigna
| Professional | $269.15 | $269.15 | $269.15 | |
United
| Facility | $3,235.94 | $3,801.89 | $4,365.16 |