| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $314.18 | $314.18 | $2,079.07 | |
Aetna
| Professional | $314.18 | $314.18 | $314.18 | |
CareFirst
| Professional | $881.01 | $1,118.67 | $2,356.17 | |
Cigna
| Professional | $52.02 | $52.02 | $52.02 |