| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $299.83 | $299.83 | $299.83 | |
Aetna
| Professional | $299.83 | $299.83 | $299.83 | |
CareFirst
| Professional | $42.30 | $297.94 | $652.04 | |
Cigna
| Facility | $81.48 | $88.10 | $100.68 | |
Cigna
| Professional | $109.45 | $109.45 | $136.81 |