| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $88.76 | $88.76 | $88.76 | |
Anthem BCBS
| Professional | $72.56 | $72.56 | $96.61 | |
CareFirst
| Professional | $71.48 | $71.48 | $139.41 | |
Medcost
| Facility | $88.76 | $88.76 | $135.18 |