| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $174.10 | $174.10 | $174.10 | |
Aetna
| Professional | $89.88 | $174.10 | $370.91 | |
CareFirst
| Professional | $242.49 | $242.49 | $322.51 | |
Cigna
| Professional | $161.72 | $161.72 | $161.72 |