| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $791.41 | $791.41 | $791.41 | |
Aetna
| Professional | $791.41 | $791.41 | $791.41 | |
CareFirst
| Professional | $1,664.40 | $2,113.40 | $4,451.31 | |
Cigna
| Professional | $271.26 | $271.26 | $271.26 |