| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5,897.71 | $5,897.71 | $7,503.63 | |
Aetna
| Professional | $136.19 | $920.99 | $11,039.13 | |
CareFirst
| Professional | $1,712.00 | $1,712.00 | $1,712.00 | |
United
| Facility | $11,668.72 | $11,668.72 | $11,668.72 |