| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareFirst
| Professional | $14.48 | $16.09 | $21.88 | |
Cigna
| Professional | $21.06 | $21.06 | $26.33 | |
Kaiser Permanente
| Professional | $30.00 | $50.00 | $50.00 | |
Wellpoint
| Professional | $2.99 | $2.99 | $3.83 |