| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareFirst
| Professional | $5.89 | $18.20 | $21.38 | |
Cigna
| Professional | $25.12 | $25.12 | $31.62 | |
Kaiser Permanente
| Professional | $33.88 | $57.54 | $57.54 | |
Wellpoint
| Professional | $3.24 | $4.17 | $8.32 |