| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $836.47 | $2,024.25 | $2,497.89 | |
Aetna
| Professional | $836.47 | $836.47 | $1,032.19 | |
CareFirst
| Professional | $605.87 | $605.87 | $805.81 | |
Cigna
| Professional | $360.74 | $360.74 | $820.58 |