| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.13 | $63.10 | $309.03 | |
Aetna
| Professional | $70.79 | $70.79 | $70.79 | |
CareFirst
| Professional | $114.82 | $114.82 | $114.82 | |
Cigna
| Professional | $51.29 | $51.29 | $51.29 | |
Wellpoint
| Professional | $131.83 | $2,511.89 | $2,511.89 |