| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $461.50 | $525.40 | $532.50 | |
CareFirst
| Professional | $568.00 | $639.00 | $728.46 | |
Kaiser Permanente
| Professional | $710.00 | $852.00 | $1,065.00 | |
United
| Professional | $298.20 | $319.50 | $639.00 | |
Wellpoint
| Professional | $355.00 | $355.00 | $355.00 |