| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $549.15 | $851.10 | $1,005.44 | |
CareFirst
| Professional | $3,055.68 | $3,055.68 | $3,055.68 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $71.76 | $71.76 | $5,177.79 | |
United
| Professional | $60.85 | $82.06 | $183.04 | |
Wellpoint
| Professional | $199.28 | $199.28 | $700.20 |