| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,557.09 | $1,557.09 | $3,044.76 | |
CareFirst
| Professional | $7,800.00 | $7,800.00 | $7,800.00 | |
Kaiser Permanente
| Professional | $18,948.00 | $18,948.00 | $22,843.00 | |
Wellpoint
| Professional | $3,400.00 | $3,400.00 | $3,400.00 |