| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,083.45 | $1,150.83 | $10,435.50 | |
CareFirst
| Professional | $235.77 | $248.22 | $315.24 | |
Kaiser Permanente
| Professional | $933.93 | $1,606.36 | $3,075.81 | |
United
| Professional | $1,781.45 | $2,809.26 | $4,088.85 | |
Wellpoint
| Professional | $1,245.24 | $1,245.24 | $1,758.48 |