| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $210.13 | $266.27 | $379.76 | |
CareFirst
| Professional | $1,449.72 | $1,449.72 | $1,449.72 | |
Cigna
| Facility | $318.39 | $318.39 | $477.60 | |
Cigna
| Professional | $270.64 | $270.64 | $270.64 | |
United
| Professional | $23.17 | $27.26 | $51.63 | |
Wellpoint
| Professional | $51.63 | $51.63 | $300.39 |