| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,211.08 | $1,397.42 | $1,397.42 | |
CareFirst
| Professional | $1,490.58 | $1,490.58 | $1,699.26 | |
Kaiser Permanente
| Professional | $1,863.22 | $2,142.69 | $2,794.83 | |
United
| Professional | $782.55 | $838.45 | $1,628.75 | |
Wellpoint
| Professional | $931.61 | $931.61 | $931.61 |