| 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 | $581.42 | $719.40 | $914.03 | |
Cigna
| Facility | $488.18 | $2,107.50 | $2,109.12 |