| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $634.51 | $657.14 | $823.33 | |
CareFirst
| Professional | $436.59 | $490.30 | $733.04 | |
Cigna
| Professional | $416.30 | $416.30 | $520.38 | |
Kaiser Permanente
| Professional | $1,896.00 | $1,896.00 | $2,480.00 | |
Wellpoint
| Professional | $800.00 | $800.00 | $800.00 |