| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,698.24 | $4,073.80 | $6,456.54 | |
Aetna
| Professional | $3,981.07 | $3,981.07 | $3,981.07 | |
CareFirst
| Professional | $4,365.16 | $5,128.61 | $9,120.11 | |
United
| Facility | $4,073.80 | $16,218.10 | $33,884.42 |