| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $585.04 | $585.04 | $603.50 | |
CareFirst
| Professional | $539.66 | $539.66 | $890.44 | |
Cigna
| Facility | $603.87 | $603.87 | $603.87 | |
Cigna
| Professional | $39.60 | $39.60 | $1,000.73 |