| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,582.75 | $1,826.25 | $1,826.25 | |
CareFirst
| Professional | $1,948.00 | $1,948.00 | $2,220.71 | |
Kaiser Permanente
| Professional | $2,435.00 | $2,800.25 | $3,652.50 | |
United
| Professional | $1,022.70 | $1,095.75 | $1,972.08 | |
Wellpoint
| Professional | $1,217.50 | $1,217.50 | $1,217.50 |