| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $315.43 | $315.43 | $455.00 | |
CareFirst
| Professional | $20.25 | $22.77 | $34.00 | |
Cigna
| Professional | $2.48 | $2.48 | $3.10 | |
Kaiser Permanente
| Professional | $420.00 | $696.00 | $696.00 | |
Wellpoint
| Professional | $42.34 | $315.58 | $315.58 |