| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $3,878.77 | $4,151.68 | $77,321.60 | |
CareFirst
| Professional | $776.77 | $834.51 | $1,059.83 | |
Kaiser Permanente
| Professional | $8,561.75 | $14,726.20 | $27,718.30 | |
United
| Professional | $12,365.36 | $16,293.18 | $26,815.73 | |
Wellpoint
| Professional | $11,424.49 | $11,424.49 | $16,139.74 |