| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,698.24 | $4,786.30 | $7,079.46 | |
Aetna
| Professional | $831.76 | $2,238.72 | $6,165.95 | |
CareFirst
| Professional | $4,365.16 | $6,309.57 | $10,715.19 | |
United
| Facility | $4,073.80 | $16,218.10 | $33,884.42 |