| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $617.41 | $617.41 | $617.41 | |
CareFirst
| Professional | $715.70 | $715.70 | $1,180.90 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $660.00 | $660.00 | $744.63 |