| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareFirst
| Professional | $12.15 | $13.50 | $18.36 | |
Cigna
| Professional | $12.39 | $12.39 | $15.49 | |
Kaiser Permanente
| Professional | $54.00 | $89.00 | $89.00 | |
Wellpoint
| Professional | $4.97 | $4.97 | $6.38 |