| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $458.98 | $2,080.00 | $4,100.00 | |
Aetna
| Professional | $252.00 | $252.00 | $252.00 | |
CareFirst
| Professional | $284.00 | $1,317.00 | $2,368.00 | |
United
| Facility | $165.00 | $442.00 | $5,940.00 |