| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,131.00 | $1,287.59 | $1,305.00 | |
CareFirst
| Professional | $1,392.00 | $1,600.80 | $1,824.91 | |
Kaiser Permanente
| Professional | $1,740.00 | $2,001.00 | $2,610.00 | |
United
| Professional | $730.80 | $800.40 | $1,409.21 | |
Wellpoint
| Professional | $870.00 | $870.00 | $870.00 |