| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $229.63 | $229.63 | $229.63 | |
CareFirst
| Professional | $409.17 | $409.17 | $675.13 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $549.90 | $549.90 | $660.00 |