| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $288.14 | $332.48 | $332.48 | |
CareFirst
| Professional | $354.65 | $354.65 | $404.30 | |
Kaiser Permanente
| Professional | $443.31 | $509.81 | $664.97 | |
United
| Professional | $186.19 | $199.49 | $403.40 | |
Wellpoint
| Professional | $221.66 | $221.66 | $221.66 |