| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $80.36 | $124.80 | $1,477.79 | |
Aetna
| Professional | $69.80 | $114.73 | $114.73 | |
CareFirst
| Professional | $71.75 | $71.75 | $118.39 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $1.62 | $1.62 | $1.62 |