| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $5,525.01 | $6,375.01 | $6,375.01 | |
CareFirst
| Professional | $6,800.00 | $6,800.00 | $7,752.00 | |
Kaiser Permanente
| Professional | $8,500.00 | $9,775.00 | $12,750.00 | |
United
| Professional | $3,570.00 | $3,825.00 | $7,734.83 | |
Wellpoint
| Professional | $4,250.00 | $4,250.00 | $4,250.00 |