| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $229.63 | $229.63 | $229.63 | |
Aetna
| Professional | $229.63 | $229.63 | $497.70 | |
Anthem BCBS
| Professional | $485.17 | $485.17 | $646.00 | |
CareFirst
| Professional | $409.17 | $409.17 | $797.88 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $549.90 | $549.90 | $549.90 | |
Medcost
| Facility | $229.63 | $229.63 | $390.37 |