| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $103.89 | $1,228.52 | $9,635.00 | |
Aetna
| Professional | $44.59 | $44.59 | $44.59 | |
CareFirst
| Professional | $120.00 | $120.00 | $246.00 | |
Cigna
| Professional | $343.67 | $343.67 | $343.67 |