| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,117.00 | $3,162.00 | $4,100.00 | |
Aetna
| Professional | $924.00 | $924.00 | $924.00 | |
CareFirst
| Professional | $2,298.00 | $2,711.00 | $5,795.00 | |
United
| Facility | $808.00 | $1,171.00 | $26,408.00 |