| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $507.78 | $1,228.82 | $3,562.04 | |
Aetna
| Professional | $507.78 | $507.78 | $507.78 | |
CareFirst
| Professional | $1,341.36 | $1,703.22 | $3,587.37 | |
Cigna
| Professional | $489.34 | $489.34 | $489.34 |