| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $616.60 | $616.60 | $616.60 | |
Aetna
| Professional | $616.60 | $616.60 | $812.83 | |
CareFirst
| Professional | $707.95 | $707.95 | $933.25 | |
United
| Facility | $2,884.03 | $3,388.44 | $3,890.45 |