| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,145.06 | $1,145.06 | $1,145.06 | |
Aetna
| Professional | $1,145.06 | $1,145.06 | $1,145.06 | |
CareFirst
| Professional | $1,634.99 | $2,076.06 | $4,372.64 | |
Cigna
| Professional | $520.86 | $520.86 | $520.86 |