| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $253.18 | $320.39 | $320.39 | |
CareFirst
| Professional | $200.20 | $200.20 | $330.33 | |
Cigna
| Facility | $247.20 | $247.20 | $247.20 | |
Cigna
| Professional | $205.76 | $205.76 | $858.00 |