| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $287.56 | $1,614.00 | $7,727.00 | |
Aetna
| Professional | $287.56 | $287.56 | $287.56 | |
CareFirst
| Professional | $573.00 | $823.00 | $2,268.00 | |
United
| Facility | $665.00 | $762.00 | $6,342.00 |