| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,137.96 | $4,466.84 | $7,762.47 | |
Aetna
| Professional | $588.84 | $588.84 | $1,174.90 | |
CareFirst
| Professional | $3,630.78 | $4,365.16 | $8,128.31 | |
United
| Facility | $4,073.80 | $16,218.10 | $33,884.42 |