| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $588.84 | $1,047.13 | $1,047.13 | |
Aetna
| Professional | $691.83 | $1,047.13 | $1,047.13 | |
Anthem BCBS
| Professional | $457.09 | $457.09 | $691.83 | |
CareFirst
| Professional | $602.56 | $602.56 | $812.83 | |
Medcost
| Facility | $616.60 | $1,047.13 | $2,137.96 | |
United
| Facility | $371.54 | $954.99 | $3,019.95 |