| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $482.48 | $556.70 | $556.70 | |
CareFirst
| Professional | $593.82 | $668.04 | $761.57 | |
Kaiser Permanente
| Professional | $742.27 | $890.72 | $1,113.41 | |
United
| Professional | $311.75 | $334.02 | $653.20 | |
Wellpoint
| Professional | $371.14 | $371.14 | $371.14 |