| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $517.50 | $517.50 | $1,040.80 | |
CareFirst
| Professional | $1,805.00 | $1,805.00 | $2,110.00 | |
Cigna
| Professional | $300.00 | $300.00 | $300.00 | |
Kaiser Permanente
| Professional | $1,094.00 | $1,206.00 | $1,334.00 | |
Wellpoint
| Professional | $814.54 | $814.54 | $814.54 |