| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $242.71 | $242.71 | $311.20 | |
CareFirst
| Professional | $127.68 | $127.68 | $210.67 | |
Cigna
| Facility | $263.39 | $263.39 | $263.39 | |
Cigna
| Professional | $116.04 | $116.04 | $116.04 |