| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $3,107.00 | $3,585.00 | $3,585.00 | |
CareFirst
| Professional | $3,824.00 | $4,302.00 | $4,904.28 | |
Kaiser Permanente
| Professional | $4,780.00 | $5,736.00 | $8,345.87 | |
United
| Professional | $2,007.60 | $2,151.00 | $3,871.27 | |
Wellpoint
| Professional | $2,390.00 | $2,390.00 | $2,390.00 |