| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2,234.69 | $2,578.48 | $2,578.48 | |
CareFirst
| Professional | $2,750.38 | $2,750.38 | $3,135.43 | |
Kaiser Permanente
| Professional | $3,437.98 | $3,953.68 | $5,156.97 | |
United
| Professional | $1,443.95 | $1,547.09 | $3,094.18 | |
Wellpoint
| Professional | $1,718.99 | $2,733.19 | $2,733.19 |