| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.26 | $215.76 | $306.23 | |
Aetna
| Professional | $70.00 | $70.00 | $70.00 | |
CareFirst
| Professional | $116.13 | $116.13 | $116.13 | |
Cigna
| Professional | $51.00 | $51.00 | $51.00 | |
Wellpoint
| Professional | $132.72 | $2,500.00 | $2,500.00 |