| 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 | $616.60 | |
Anthem BCBS
| Professional | $501.19 | $501.19 | $758.58 | |
CareFirst
| Professional | $707.95 | $707.95 | $977.24 | |
Medcost
| Facility | $616.60 | $616.60 | $1,047.13 | |
United
| Facility | $616.60 | $1,348.96 | $4,265.80 |