| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,106.75 | $3,106.75 | $3,106.75 | |
Aetna
| Professional | $3,106.75 | $3,106.75 | $3,106.75 | |
CareFirst
| Professional | $2,924.00 | $2,924.00 | $2,924.00 | |
United
| Professional | $2,771.71 | $3,045.83 | $4,936.62 |