| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $691.83 | $1,412.54 | $1,584.89 | |
Aetna
| Professional | $691.83 | $691.83 | $1,000.00 | |
CareFirst
| Professional | $630.96 | $630.96 | $954.99 | |
Cigna
| Professional | $239.88 | $239.88 | $239.88 | |
United
| Professional | $436.52 | $436.52 | $676.08 |