| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $171.15 | $171.15 | $171.15 | |
Aetna
| Professional | $171.15 | $171.15 | $361.77 | |
CareFirst
| Professional | $333.89 | $333.89 | $444.07 | |
Cigna
| Professional | $445.60 | $445.60 | $533.88 |