| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $315.43 | $315.43 | $315.43 | |
Aetna
| Professional | $315.43 | $315.43 | $315.43 | |
CareFirst
| Professional | $22.50 | $22.50 | $22.50 | |
Cigna
| Facility | $81.48 | $88.10 | $100.68 | |
Cigna
| Professional | $2.48 | $2.48 | $3.10 |