| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $430.51 | $430.51 | $430.51 | |
Aetna
| Professional | $171.15 | $171.15 | $361.77 | |
CareFirst
| Professional | $333.89 | $333.89 | $550.91 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $204.84 | $445.60 | $858.00 | |
United
| Professional | $173.11 | $173.11 | $173.11 |