| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $655.61 | $1,614.00 | $7,727.00 | |
Aetna
| Professional | $655.61 | $655.61 | $655.61 | |
CareFirst
| Professional | $472.00 | $638.00 | $1,209.00 | |
United
| Facility | $808.00 | $1,171.00 | $26,408.00 |