| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $687.10 | $1,052.08 | $1,052.08 | |
CareFirst
| Professional | $600.07 | $600.07 | $990.12 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $660.00 | $660.00 | $1,056.61 |