| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $537.03 | $2,238.72 | $3,630.78 | |
Aetna
| Professional | $141.25 | $537.03 | $1,819.70 | |
CareFirst
| Professional | $2,187.76 | $2,818.38 | $6,309.57 | |
United
| Facility | $3,235.94 | $3,801.89 | $4,365.16 |