| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $146.74 | $146.74 | $146.74 | |
Aetna
| Professional | $146.74 | $146.74 | $192.67 | |
Anthem BCBS
| Professional | $203.33 | $203.33 | $338.74 | |
CareFirst
| Professional | $120.59 | $120.59 | $235.15 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $259.57 | $259.57 | $259.57 | |
Medcost
| Facility | $146.74 | $151.13 | $247.99 |