| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $171.96 | $171.96 | $171.96 | |
Aetna
| Professional | $171.96 | $171.96 | $171.96 | |
Anthem BCBS
| Professional | $281.10 | $281.10 | $466.59 | |
CareFirst
| Professional | $267.20 | $267.20 | $521.04 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $354.90 | $354.90 | $354.90 | |
Medcost
| Facility | $171.96 | $171.96 | $290.61 |