| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,258.63 | $6,258.63 | $9,303.74 | |
Aetna
| Professional | $35.70 | $35.70 | $35.70 | |
CareFirst
| Professional | $612.00 | $612.00 | $612.00 | |
Cigna
| Professional | $125.40 | $125.40 | $125.40 |