| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $80.00 | $80.00 | $80.00 | |
CareFirst
| Professional | $324.23 | $360.25 | $489.94 | |
Kaiser Permanente
| Professional | $416.00 | $690.00 | $690.00 | |
Wellpoint
| Professional | $225.00 | $225.00 | $225.00 |