| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $520.71 | $520.71 | $520.71 | |
Aetna
| Professional | $520.71 | $520.71 | $520.71 | |
CareFirst
| Professional | $490.08 | $490.08 | $490.08 | |
Cigna
| Facility | $520.71 | $520.71 | $520.71 | |
United
| Professional | $464.56 | $510.50 | $827.41 |