| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2,053.62 | $2,369.57 | $2,590.71 | |
CareFirst
| Professional | $2,527.54 | $2,906.67 | $3,313.60 | |
Kaiser Permanente
| Professional | $3,159.42 | $3,633.33 | $4,739.13 | |
United
| Professional | $1,326.96 | $1,579.71 | $2,875.01 | |
Wellpoint
| Professional | $1,579.71 | $1,579.71 | $1,579.71 |