| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $295.12 | $380.19 | $457.09 | |
Aetna
| Professional | $114.82 | $114.82 | $114.82 | |
CareFirst
| Professional | $100.00 | $100.00 | $100.00 | |
Cigna
| Professional | $79.43 | $79.43 | $79.43 |