| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,897.74 | $2,189.69 | $2,189.69 | |
CareFirst
| Professional | $2,335.67 | $2,335.67 | $2,662.68 | |
Kaiser Permanente
| Professional | $2,919.60 | $3,357.54 | $4,379.39 | |
United
| Professional | $1,226.23 | $1,459.80 | $2,627.64 | |
Wellpoint
| Professional | $1,459.80 | $1,459.80 | $1,459.80 |