| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $310.80 | $487.58 | $488.60 | |
CareFirst
| Professional | $1,170.00 | $1,170.00 | $1,337.31 | |
Cigna
| Professional | $182.55 | $182.55 | $228.18 | |
Kaiser Permanente
| Professional | $413.00 | $1,738.00 | $1,738.00 | |
Wellpoint
| Professional | $400.00 | $400.00 | $400.00 |