| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $64.83 | $64.83 | $918.76 | |
Aetna
| Professional | $9.60 | $9.60 | $94.98 | |
CareFirst
| Professional | $51.41 | $51.41 | $84.83 | |
Cigna
| Facility | $104.83 | $104.83 | $104.83 | |
Cigna
| Professional | $195.53 | $195.53 | $195.53 |