| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.98 | $0.98 | $2,691.53 | |
Aetna
| Professional | $295.12 | $707.95 | $4,365.16 | |
CareFirst
| Professional | $2,137.96 | $2,137.96 | $2,137.96 | |
United
| Facility | $426.58 | $426.58 | $426.58 |