| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $512.86 | $4,073.80 | $7,762.47 | |
Aetna
| Professional | $512.86 | $512.86 | $512.86 | |
CareFirst
| Professional | $537.03 | $1,819.70 | $2,818.38 | |
United
| Facility | $4,073.80 | $10,715.19 | $33,884.42 |