| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareFirst
| Professional | $15.15 | $16.82 | $22.89 | |
Cigna
| Professional | $22.72 | $22.72 | $28.39 | |
Kaiser Permanente
| Professional | $93.00 | $155.00 | $155.00 | |
Wellpoint
| Professional | $5.07 | $5.18 | $6.50 |