| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $234.70 | $7,794.53 | $22,210.39 | |
Aetna
| Professional | $9.74 | $34.65 | $147.40 | |
CareFirst
| Professional | $612.00 | $612.00 | $612.00 | |
Cigna
| Professional | $125.40 | $125.40 | $125.40 |