| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $521.10 | $521.10 | $521.10 | |
Aetna
| Professional | $521.10 | $521.10 | $521.10 | |
CareFirst
| Professional | $1,146.99 | $1,146.99 | $1,301.30 | |
Cigna
| Professional | $91.49 | $91.49 | $91.49 | |
United
| Professional | $59.72 | $94.97 | $166.80 |