| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,137.96 | $4,073.80 | $7,079.46 | |
Aetna
| Professional | $1,862.09 | $1,862.09 | $3,890.45 | |
CareFirst
| Professional | $4,365.16 | $12,302.69 | $17,378.01 | |
United
| Facility | $4,073.80 | $16,218.10 | $33,884.42 |