| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $367.50 | $367.50 | $367.50 | |
CareFirst
| Professional | $606.44 | $606.44 | $697.41 | |
Kaiser Permanente
| Professional | $1,441.00 | $1,694.00 | $1,885.00 | |
United
| Facility | $1,028.00 | $1,028.00 | $1,028.00 | |
Wellpoint
| Professional | $1,100.00 | $1,100.00 | $1,100.00 |