| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2,719.04 | $3,137.35 | $3,137.35 | |
CareFirst
| Professional | $3,346.50 | $3,346.50 | $3,815.01 | |
Kaiser Permanente
| Professional | $4,183.13 | $4,810.60 | $6,274.70 | |
United
| Professional | $1,756.91 | $2,091.57 | $3,764.82 | |
Wellpoint
| Professional | $2,091.57 | $2,091.57 | $2,091.57 |