| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $896.80 | $896.80 | $896.80 | |
Aetna
| Professional | $667.44 | $896.80 | $896.80 | |
CareFirst
| Professional | $3,055.68 | $3,055.68 | $3,055.68 | |
Cigna
| Professional | $24.99 | $24.99 | $4,321.62 | |
United
| Professional | $40.98 | $82.06 | $631.57 |