| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,412.54 | $2,754.23 | $4,073.80 | |
Aetna
| Professional | $331.13 | $1,621.81 | $4,168.69 | |
CareFirst
| Professional | $4,365.16 | $5,128.61 | $9,120.11 | |
United
| Facility | $4,073.80 | $16,218.10 | $33,884.42 |