| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareFirst
| Professional | $14.09 | $15.66 | $21.30 | |
Cigna
| Professional | $28.08 | $28.08 | $35.11 | |
Kaiser Permanente
| Professional | $65.00 | $108.00 | $108.00 | |
Wellpoint
| Professional | $6.28 | $6.48 | $8.05 |