| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $751.56 | $751.56 | $2,110.50 | |
Aetna
| Professional | $751.56 | $751.56 | $751.56 | |
CareFirst
| Professional | $1,150.33 | $1,460.66 | $3,076.48 | |
Cigna
| Professional | $477.77 | $477.77 | $477.77 |