| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareFirst
| Professional | $18.95 | $21.06 | $28.64 | |
Cigna
| Professional | $27.67 | $27.67 | $34.59 | |
Kaiser Permanente
| Professional | $86.00 | $143.00 | $143.00 | |
Wellpoint
| Professional | $4.04 | $4.18 | $5.18 |