| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5,888.44 | $5,888.44 | $5,888.44 | |
Aetna
| Professional | $1,348.96 | $6,025.60 | $13,182.57 | |
CareFirst
| Professional | $2,137.96 | $2,137.96 | $2,137.96 | |
United
| Facility | $128.82 | $128.82 | $128.82 |