| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $850.00 | $850.00 | $850.00 | |
Aetna
| Professional | $850.00 | $850.00 | $850.00 | |
CareFirst
| Professional | $212.00 | $212.00 | $212.00 | |
Cigna
| Facility | $212.00 | $212.00 | $212.00 | |
United
| Professional | $192.92 | $212.00 | $343.61 |