| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.98 | $1,130.03 | $7,248.71 | |
Aetna
| Professional | $507.50 | $715.27 | $736.59 | |
CareFirst
| Professional | $2,141.00 | $2,141.00 | $2,141.00 | |
United
| Facility | $128.00 | $128.00 | $128.00 |