| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $307.42 | $307.42 | $307.42 | |
Aetna
| Professional | $307.42 | $307.42 | $307.42 | |
CareFirst
| Professional | $294.30 | $294.30 | $294.30 | |
Cigna
| Facility | $81.48 | $88.10 | $100.68 | |
Cigna
| Professional | $254.00 | $296.00 | $317.49 |