| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $71.84 | $138.77 | $506.26 | |
Aetna
| Professional | $36.11 | $36.11 | $81.19 | |
CareFirst
| Professional | $71.48 | $71.48 | $117.96 | |
Cigna
| Facility | $190.11 | $190.11 | $190.11 | |
Cigna
| Professional | $21.70 | $21.70 | $21.70 |