| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $3,700.69 | $3,945.55 | $79,555.60 | |
CareFirst
| Professional | $758.12 | $793.69 | $1,072.67 | |
Kaiser Permanente
| Professional | $8,155.41 | $14,027.31 | $26,303.52 | |
United
| Professional | $13,034.73 | $18,571.13 | $29,704.52 | |
Wellpoint
| Professional | $11,567.28 | $11,567.28 | $15,369.30 |