| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $4,791.78 | $6,002.39 | $12,293.72 | |
CareFirst
| Professional | $5,629.39 | $5,629.39 | $8,350.00 | |
Kaiser Permanente
| Professional | $5,029.85 | $6,488.51 | $10,748.69 | |
United
| Professional | $3,201.40 | $5,126.39 | $9,498.31 | |
Wellpoint
| Professional | $4,021.77 | $4,021.77 | $7,071.06 |