| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $430.51 | $496.74 | $496.74 | |
CareFirst
| Professional | $529.86 | $529.86 | $604.04 | |
Kaiser Permanente
| Professional | $662.32 | $761.67 | $993.48 | |
United
| Professional | $278.17 | $298.04 | $602.70 | |
Wellpoint
| Professional | $331.16 | $331.16 | $331.16 |