| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $309.03 | $309.03 | $309.03 | |
Aetna
| Professional | $309.03 | $309.03 | $575.44 | |
CareFirst
| Professional | $398.11 | $398.11 | $524.81 | |
United
| Facility | $1,258.93 | $1,479.11 | $1,698.24 | |
United
| Professional | $436.52 | $436.52 | $436.52 |