| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,235.13 | $1,425.15 | $1,425.15 | |
CareFirst
| Professional | $1,520.16 | $1,520.16 | $1,732.98 | |
Kaiser Permanente
| Professional | $1,900.20 | $2,185.23 | $2,850.30 | |
United
| Professional | $798.08 | $855.09 | $1,729.14 | |
Wellpoint
| Professional | $950.10 | $950.10 | $950.10 |