| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,614.00 | $4,004.00 | $4,601.00 | |
Aetna
| Professional | $245.00 | $245.00 | $245.00 | |
CareFirst
| Professional | $284.00 | $3,078.00 | $6,164.00 | |
United
| Facility | $165.00 | $442.00 | $5,940.00 |