| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $700.00 | $700.00 | $700.00 | |
Aetna
| Professional | $700.00 | $700.00 | $700.00 | |
Anthem BCBS
| Professional | $60.00 | $60.00 | $79.89 | |
CareFirst
| Professional | $71.75 | $71.75 | $139.91 | |
Medcost
| Facility | $700.00 | $700.00 | $1,183.00 |