| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $146.74 | $146.74 | $192.67 | |
CareFirst
| Professional | $120.59 | $120.59 | $198.97 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $259.57 | $259.57 | $858.00 |