| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $724.77 | $724.77 | $724.77 | |
Aetna
| Professional | $724.77 | $724.77 | $724.77 | |
CareFirst
| Professional | $682.14 | $682.14 | $682.14 | |
Cigna
| Facility | $724.77 | $724.77 | $724.77 | |
United
| Professional | $646.61 | $710.56 | $1,151.66 |