| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $540.96 | $677.60 | $677.60 | |
Aetna
| Professional | $540.96 | $540.96 | $677.60 | |
Anthem BCBS
| Professional | $241.64 | $241.64 | $402.57 | |
CareFirst
| Professional | $201.15 | $201.15 | $392.24 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $920.40 | $920.40 | $920.40 | |
Medcost
| Facility | $542.08 | $677.60 | $1,036.73 |