| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,972.01 | $2,275.40 | $2,487.77 | |
CareFirst
| Professional | $2,427.09 | $2,427.09 | $2,936.78 | |
Kaiser Permanente
| Professional | $3,033.86 | $3,488.94 | $4,550.79 | |
United
| Professional | $1,274.22 | $1,395.58 | $2,669.80 | |
Wellpoint
| Professional | $1,516.93 | $1,516.93 | $1,516.93 |