| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,663.50 | $1,663.50 | $1,663.50 | |
CareFirst
| Professional | $5,658.00 | $5,658.00 | $5,658.00 | |
United
| Professional | $1,330.80 | $1,774.40 | $3,319.43 | |
Wellpoint
| Professional | $2,761.79 | $2,912.10 | $3,473.99 |