| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $517.29 | $517.29 | $572.22 | |
CareFirst
| Professional | $980.00 | $980.00 | $1,120.14 | |
Kaiser Permanente
| Professional | $529.00 | $1,476.00 | $1,708.00 | |
Wellpoint
| Professional | $1,000.00 | $1,000.00 | $1,000.00 |