| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,995.26 | $2,290.87 | $2,570.40 | |
CareFirst
| Professional | $2,187.76 | $2,454.71 | $2,754.23 | |
Kaiser Permanente
| Professional | $3,019.95 | $3,467.37 | $4,570.88 | |
United
| Professional | $1,288.25 | $1,380.38 | $2,290.87 | |
Wellpoint
| Professional | $1,513.56 | $1,513.56 | $1,513.56 |