| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,137.96 | $4,073.80 | $7,762.47 | |
Aetna
| Professional | $223.87 | $269.15 | $269.15 | |
CareFirst
| Professional | $4,365.16 | $6,309.57 | $10,715.19 | |
United
| Facility | $4,073.80 | $16,218.10 | $33,884.42 |