| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2,522.96 | $2,688.05 | $21,273.60 | |
CareFirst
| Professional | $522.10 | $550.60 | $726.74 | |
Kaiser Permanente
| Professional | $2,263.17 | $3,892.67 | $7,199.36 | |
United
| Professional | $3,592.14 | $5,087.07 | $7,993.64 | |
Wellpoint
| Professional | $3,017.57 | $3,017.57 | $4,262.04 |