| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $456.55 | $912.79 | $958.60 | |
Aetna
| Professional | $82.00 | $293.39 | $337.88 | |
CareFirst
| Professional | $258.18 | $258.18 | $343.38 | |
Cigna
| Professional | $147.34 | $147.34 | $319.08 |