| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,897.74 | $2,189.69 | $3,139.03 | |
CareFirst
| Professional | $2,335.67 | $2,335.67 | $2,662.68 | |
Kaiser Permanente
| Professional | $3,500.00 | $4,025.00 | $5,250.00 | |
United
| Professional | $1,226.23 | $1,343.02 | $2,656.78 | |
Wellpoint
| Professional | $1,750.00 | $2,321.08 | $2,321.08 |