| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,631.64 | $1,882.66 | $1,882.66 | |
CareFirst
| Professional | $2,008.17 | $2,334.50 | $2,661.33 | |
Kaiser Permanente
| Professional | $2,510.21 | $2,886.74 | $3,765.32 | |
United
| Professional | $1,054.29 | $1,129.58 | $2,284.23 | |
Wellpoint
| Professional | $1,255.10 | $1,255.10 | $1,255.10 |