| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $282.72 | $282.72 | $504.07 | |
CareFirst
| Professional | $65.75 | $75.51 | $360.00 | |
Kaiser Permanente
| Professional | $59.70 | $77.01 | $130.53 | |
United
| Professional | $53.41 | $99.84 | $263.60 | |
Wellpoint
| Professional | $68.66 | $68.66 | $82.50 |