| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $89.88 | $174.10 | $1,376.02 | |
Aetna
| Professional | $89.88 | $174.10 | $253.70 | |
Anthem BCBS
| Professional | $246.81 | $246.81 | $411.18 | |
CareFirst
| Professional | $242.49 | $242.49 | $472.86 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $161.72 | $161.72 | $161.72 | |
Medcost
| Facility | $89.88 | $174.10 | $287.27 |