| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $540.96 | $540.96 | $876.05 | |
CareFirst
| Professional | $201.15 | $201.15 | $331.90 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $858.00 | $858.00 | $920.40 |