| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $110.00 | $195.18 | $1,125.00 | |
CareFirst
| Professional | $324.23 | $360.25 | $489.94 | |
Cigna
| Professional | $118.94 | $118.94 | $148.68 | |
Kaiser Permanente
| Professional | $799.00 | $800.00 | $800.00 | |
Wellpoint
| Professional | $350.00 | $350.00 | $350.00 |