| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,140.75 | $1,316.25 | $1,316.25 | |
CareFirst
| Professional | $1,560.00 | $1,579.50 | $1,800.63 | |
Kaiser Permanente
| Professional | $1,950.00 | $2,340.00 | $2,925.00 | |
United
| Professional | $737.10 | $789.75 | $1,579.50 | |
Wellpoint
| Professional | $975.00 | $975.00 | $975.00 |