| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $616.60 | $616.60 | $616.60 | |
CareFirst
| Professional | $707.95 | $707.95 | $1,096.48 | |
Cigna
| Professional | $660.69 | $660.69 | $660.69 | |
United
| Professional | $1,071.52 | $1,071.52 | $1,071.52 |