| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,140.75 | $1,316.25 | $1,316.25 | |
CareFirst
| Professional | $1,404.00 | $1,404.00 | $1,600.56 | |
Kaiser Permanente
| Professional | $1,755.00 | $2,018.25 | $2,632.50 | |
United
| Professional | $737.10 | $789.75 | $1,421.36 | |
Wellpoint
| Professional | $877.50 | $877.50 | $877.50 |