| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $55,767.00 | $55,767.00 | $55,767.00 | |
CareFirst
| Professional | $5,123.00 | $5,123.00 | $5,123.00 | |
Cigna
| Facility | $13,178.35 | $13,178.35 | $13,178.35 | |
Cigna
| Professional | $9,937.73 | $9,937.73 | $9,937.73 |