| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5,011.87 | $5,011.87 | $5,011.87 | |
Aetna
| Professional | $354.81 | $1,445.44 | $2,344.23 | |
CareFirst
| Professional | $3,162.28 | $3,162.28 | $3,162.28 | |
United
| Facility | $2,884.03 | $2,884.03 | $2,884.03 |