| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $400.00 | $2,131.00 | $2,599.00 | |
Aetna
| Professional | $400.00 | $400.00 | $425.00 | |
CareFirst
| Professional | $1,649.22 | $2,040.55 | $2,592.62 | |
Cigna
| Facility | $997.34 | $2,107.50 | $2,109.12 |