| 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 | $1,430.23 | $1,769.61 | $2,248.37 | |
Cigna
| Facility | $632.14 | $1,796.48 | $1,797.87 |