| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17.57 | $304.97 | $3,705.38 | |
Aetna
| Professional | $102.14 | $121.70 | $194.06 | |
CareFirst
| Professional | $100.00 | $100.00 | $100.00 | |
Cigna
| Professional | $119.90 | $119.90 | $119.90 | |
Kaiser Permanente
| Professional | $258.00 | $258.00 | $317.00 | |
Wellpoint
| Professional | $150.00 | $150.00 | $150.00 |