| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $712.50 | $712.50 | $988.26 | |
CareFirst
| Professional | $604.26 | $678.97 | $1,014.56 | |
Cigna
| Professional | $736.38 | $736.38 | $920.47 | |
Kaiser Permanente
| Professional | $1,522.00 | $2,522.00 | $2,522.00 | |
Wellpoint
| Professional | $900.00 | $900.00 | $900.00 |