| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $47.86 | $1,548.82 | $6,309.57 | |
Aetna
| Professional | $309.03 | $891.25 | $3,981.07 | |
CareFirst
| Professional | $2,691.53 | $2,691.53 | $2,691.53 | |
United
| Facility | $128.82 | $128.82 | $128.82 |