| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $690.18 | $2,373.46 | $6,232.98 | |
Aetna
| Professional | $150.00 | $690.18 | $839.19 | |
CareFirst
| Professional | $627.71 | $627.71 | $834.85 | |
Cigna
| Professional | $240.52 | $240.52 | $610.54 | |
United
| Professional | $437.68 | $437.68 | $437.68 |