| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,267.50 | $1,462.50 | $1,462.50 | |
CareFirst
| Professional | $1,560.00 | $1,560.00 | $1,778.40 | |
Kaiser Permanente
| Professional | $1,950.00 | $2,242.50 | $2,925.00 | |
United
| Professional | $819.00 | $877.50 | $1,774.46 | |
Wellpoint
| Professional | $975.00 | $975.00 | $975.00 |