| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $412.43 | $429.48 | $429.48 | |
Aetna
| Professional | $280.86 | $412.43 | $429.48 | |
Anthem BCBS
| Professional | $30.00 | $30.00 | $40.21 | |
CareFirst
| Professional | $157.16 | $157.16 | $306.45 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $73.18 | $73.18 | $73.18 | |
Medcost
| Facility | $412.43 | $429.48 | $697.01 |