| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,722.50 | $1,987.50 | $1,987.50 | |
CareFirst
| Professional | $2,120.00 | $2,120.00 | $2,416.80 | |
Kaiser Permanente
| Professional | $2,650.00 | $3,047.50 | $3,975.00 | |
United
| Professional | $1,113.00 | $1,219.00 | $2,332.00 | |
Wellpoint
| Professional | $1,325.00 | $1,325.00 | $1,325.00 |