| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $289.39 | $401.62 | $401.62 | |
CareFirst
| Professional | $170.91 | $192.14 | $286.95 | |
Cigna
| Professional | $280.01 | $280.01 | $350.02 | |
Kaiser Permanente
| Professional | $603.00 | $603.00 | $1,523.00 | |
Wellpoint
| Professional | $42.34 | $424.00 | $424.00 |