| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $203.99 | $307.42 | $307.42 | |
CareFirst
| Professional | $264.87 | $297.20 | $444.72 | |
Cigna
| Professional | $254.00 | $254.00 | $317.49 | |
Kaiser Permanente
| Professional | $774.00 | $774.00 | $790.00 | |
Wellpoint
| Professional | $400.00 | $400.00 | $400.00 |