| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareFirst
| Professional | $15.15 | $16.82 | $22.89 | |
Cigna
| Professional | $21.89 | $21.89 | $27.36 | |
Kaiser Permanente
| Professional | $56.00 | $93.00 | $93.00 | |
Wellpoint
| Professional | $12.61 | $12.61 | $16.17 |