| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $842.26 | $842.26 | $842.26 | |
Aetna
| Professional | $308.72 | $308.72 | $569.27 | |
CareFirst
| Professional | $399.56 | $399.56 | $659.27 | |
Cigna
| Facility | $515.52 | $515.52 | $515.52 | |
Cigna
| Professional | $39.60 | $39.60 | $604.84 |