| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $660.69 | $2,137.96 | $7,762.47 | |
Aetna
| Professional | $660.69 | $660.69 | $660.69 | |
CareFirst
| Professional | $489.78 | $707.95 | $2,691.53 | |
United
| Facility | $1,023.29 | $6,606.93 | $26,302.68 |