| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $3,395.99 | $3,918.45 | $3,918.45 | |
CareFirst
| Professional | $4,179.68 | $4,179.68 | $4,764.84 | |
Kaiser Permanente
| Professional | $5,224.60 | $6,008.29 | $7,836.90 | |
United
| Professional | $2,194.33 | $2,612.30 | $4,754.28 | |
Wellpoint
| Professional | $2,612.30 | $2,612.30 | $2,612.30 |