| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $3,250.00 | $3,750.00 | $5,000.00 | |
CareFirst
| Professional | $4,000.00 | $4,000.00 | $4,560.00 | |
Kaiser Permanente
| Professional | $5,000.00 | $5,750.00 | $7,500.00 | |
United
| Professional | $2,100.00 | $2,300.00 | $4,549.89 | |
Wellpoint
| Professional | $2,500.00 | $3,975.00 | $3,975.00 |